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[ "With suicide as a leading cause of death, the issue of children and adolescent suicide risks is in the spotlight today.", "To empower teachers in primary and secondary schools to serve as gatekeepers and to ensure the safety of children and adolescents, the systematically tailored and localized Life Gatekeeper suicide prevention program was designed for Chinese schools.", "With the ultimate goal of preventing child and adolescent suicide, we aim to outline a research protocol for examining outcomes of the recently created standardized school-based Life Gatekeeper program in reducing teachers' stigma, increasing their knowledge, willingness to intervene, and perceived competence.", "Participants will be recruited from eligible primary and secondary schools.", "Cluster sampling will be used to randomly assign each school to either the intervention group or the control group.", "The primary outcomes are stigma against suicide, suicide literacy, perceived competence, and willingness to intervene with suicidal individuals, which will be measured using the Stigma of Suicide Scale, the Literacy of Suicide Scale, and the Willingness to Intervene Against Suicide Questionnaire, respectively.", "Measurements will be taken at four time points, including pre-intervention, immediately after the intervention, 6-month follow-up, and 1-year follow-up.", "The current study features innovative implementation in the real world, by using a randomized controlled trial design to examine the effectiveness of a school-based gatekeeper program among primary and secondary school teachers, following a sequence of defined and refined steps.", "The research will also investigate the viability of a school-based gatekeeper program for primary and secondary school teachers that could be quickly and inexpensively implemented in a large number of schools." ]

[ "With support from the American Society for Biochemistry and Molecular Biology (ASBMB), a community of biochemistry and molecular biology (BMB) scientist-educators has developed and administered an assessment instrument designed to evaluate student competence across four core concept and skill areas fundamental to BMB.", "The four areas encompass energy and metabolism; information storage and transfer; macromolecular structure, function, and assembly; and skills including analytical and quantitative reasoning.", "First offered in 2014, the exam has now been administered to nearly 4000 students in ASBMB-accredited programs at more than 70 colleges and universities.", "Here, we describe the development and continued maturation of the exam program, including the organic role of faculty volunteers as drivers and stewards of all facets: content and format selection, question development, and scoring." ]

[ "With the advance of computer-based assessments, many process data, such as response times (RTs), action sequences, Eye-tracking data, the log data for collaborative problem-solving (CPS) and mouse click/drag becomes readily available.", "Findings from previous studies (e.g., Peng et al., Multivariate Behavioral Research, 1-20, 2021; Xu, The British Journal of Mathematical and Statistical Psychology, 73(3), 474-505, 2020; He & von Davier, Handbook of research on technology tools for real-world skill development (pp.", "750-777).", "IGI Global, 2016; Man & Harring, Educational and Psychological Measurement, 81(3), 441-465, 2021) suggest a substantial relationship between this human-computer interactive process information and proficiency, which means these process data were potentially useful variables for psychological and educational measurement.", "To make full use of the process data, this paper aims to combine two useful and easily available types of process data, including the mouse click/drag traces and the response times, to the conventional cognitive diagnostic model (CDM) to better understand individual's response behavior and improve the classification accuracy of existing CDM.", "Then the full Bayesian analysis using Markov chain Monte Carlo (MCMC) was employed to estimate the proposed model parameters.", "The viability of the proposed model was investigated by an empirical data and two simulation studies.", "Results indicated the proposed model combing both types of process data could not only improve the attribute classification reliability in real data analysis, but also provide an improvement on item parameters recovery and person classification accuracy." ]

[ "With the advancement of computer-based testing, log file data has drawn considerable attention from researchers.", "Although emerging studies have begun to explore log file data, there is a gap in the exploitation of log file data for capturing and understanding participants' cognitive processes.", "The debate on how to maximize insights from log file data has not yet reached a consensus.", "Therefore, we present this protocol for a scoping review that aims to characterize the application of log file data in current publications, including the data pre-processing techniques, analytical methodologies, and theoretical frameworks used by researchers.", "This review will also aim to illuminate how log file data can enhance psychological and educational assessments.", "Our findings will highlight the opportunities and challenges presented by log file data as an emerging and essential source of evidence for future advancements in psychological and educational assessment." ]

[ "With the advancement of science and artificial intelligence, education is experiencing significant innovation.", "The adaptive learning system is emerging as a promising approach to achieving personalized learning.", "The cognitive model plays a crucial role as the fundamental rationale behind the adaptive learning system.", "Currently, there is no uniform and highly operational method for constructing cognitive models.", "This study adopts Interpretive Structural Modeling (ISM) as the foundational approach for constructing a cognitive model of solid geometry.", "Based on literature and expert opinions, 17 cognitive attributes of high school solid geometry were identified.", "Subsequently, a questionnaire survey involving 40 experts was conducted to establish the contextual relationships among these attributes.", "Applying the ISM method resulted in a seven-level model.", "This model was then revised based on expert opinions to create the final cognitive model, revealing three primary paths within the domain of high school solid geometry.", "This paper contends that the use of the ISM method for constructing cognitive models is effective and objective.", "The resulting cognitive model unveils the content structure of high school solid geometry, and provides an innovative perspective on the construction of cognitive models." ]

[ "With the advancing digitization in medicine, digital medical data is playing an increasingly important role in health care and research, which is why data literacy must already be taught in medical education.", "To this end, a 28-hour online elective for medical students - following a constructivist approach - has been implemented.", "It teaches learners different aspects of data literacy for a critical collection and use of sensitive medical data.", "The assessment of the learners' reflections on the course topics shows, on the one hand, the importance of data literacy from learners' perspective and, on the other hand, the importance of taking an overarching and coherent view of medical data.", "In further curricular courses, such as medical ethics, and statistics, special themes are to be deepened in an application-oriented manner." ]

[ "With the advent of the era of artificial intelligence, speech recognition engine technology has a profound impact on social production, life, education, and other fields.", "Voice interaction is the most basic and practical type of human-computer interaction.", "To build an intelligent and automatic physical education teaching mode, this paper combines human-computer interaction based on speech recognition technology with physical education teaching.", "Students input through voice signals, and the system receives signals, analyzes signals, recognizes signals, and feeds back information to students in multiple forms.", "For the system to process the external speech signal, this paper uses the Mel cepstral coefficient algorithm to extract the speech information.", "By comparing the speech recognition rate and antinoise rate of Hidden Markov Model, Probabilistic Statistics Neural Network, and Hybrid Model (Hidden Markov and Rate Statistical Neural Network combination), the speech recognition engine uses the hybrid model, and its speech recognition rate is 98.3%, and the average antinoise rate can reach 85%.", "By comparing the human-computer interaction physical education teaching method with the traditional teaching method, the human-computer interaction method is superior to the traditional teaching method in the acquisition of physical knowledge, the acquisition of physical skills, the satisfaction of physical education courses and the ability of active learning.", "It effectively solves the drawbacks of traditional physical education and rationally uses human-computer interaction technology.", "On the basis of not violating physical education, realize the diversification of physical education, improve the quality of teaching, improve students' individual development and students' autonomous learning ability.", "Therefore, the combination of human-computer interaction and physical education based on recognition engine technology is the trend of today's physical education development." ]

[ "With the aid of a brain computer interface (BCI), users can communicate and receive signals wirelessly or over wired connections to operate smart devices.", "A BCI classifier's architecture is quite difficult since numerous elements should be combined.", "These elements are made up of brain signals, which also include high levels of weak sounds that could provide reliable participant recordings of daily activities.", "We must use computer vision techniques to create a model in order to control those information.", "The high dimension and volume of signals present the classification classifier with its primary obstacles.", "Due to this, we extracted and classified the brain activity in this study, and we also presented a novel hierarchical recursive feature elimination method that we refer to as HRFE embracing noisy additions.", "HRFE makes a variety of categorization suggestions to eliminate bias in classifying BCI systems of different types.", "We put the HRFE to the test on two BCI signal data sets-specifically, dataset I and BCI contests III-using shallow and deep convolution network classification techniques.", "Just a grid of assets is used to create electrocorticography (ECoG) signals on the contralateral (right) motor cortex, and these signals are recorded in the BCI contests III database.", "Using ECoG signals, we choose the top 20 features that have the biggest effects on distortion and classification selection.", "The simulation findings show that HRFE has a significant computer vision enhancement when compared to comparable feature selection methods in the literature, particularly for ECoG signal, which achieves about 93% reliability." ]

[ "With the appearance and aggravation of the aging society, cancer has become one of the major problems that threaten the life and health of Chinese residents seriously.", "To explore the cancer epidemiological characteristics among the elderly in China from 2005 to 2016, and to provide strategies for cancer prevention and treatment.", "Stratified analysis was conducted on the cancer mortality data of the elderly aged ≥60 years in China, which were selected from the Chinese Cancer Registry Annual Report.", "Joinpoint regression model was used to calculted average annual percentage change (AAPC) to estimate the time trends.", "Age-period-cohort (APC) model was used to explore the age, period and birth cohort effect on the risk of cancer death.", "Bayesian age-period-cohort (BAPC) model was used to predict trends in cancer mortality among elderly by gender and region to 2035.", "2005-2016, cancer mortality in the elderly in China showed a decreasing trend (AAPC = -1.2%, P<0.001).", "Cancer mortality in rural areas was higher than that in urban areas, but the urban-rural difference gradually narrowed (t = 6.1, P<0.01).", "The APC model showed that cancer mortality increased with age.", "The relative risk (RR) for the period effect decreased.", "RR was lower for the later- born cohort than that for the earlier-born cohort in rural areas.", "Lung cancer mortality ranked first in both male and female, and showed an increasing trend among female in the 60-64, 80-84 and ≥85 age groups (AAPC60-64 = 1.0%, AAPC80-84 = 0.8%, AAPC≥85 = 2.0%, all P<0.05).", "By 2035, cancer mortality for the elderly was predicted to decline nationally, by sex and in rural areas, while rising in urban areas.", "Cancer mortality in the elderly in China showed a decreasing trend from 2005 to 2016, but it was still higher than the world average.", "Early cancer screening is important, especially in the elderly male and in rural areas." ]

[ "With the construction and development of the \"the Belt and Road\", the international community has an increasing demand for high-quality technical and skilled talents who both understand Chinese and have an international perspective.", "Exploring a Chinese curriculum system suitable for the development of international students is conducive to promoting the international development of vocational education, improving the quality of international student training, providing talent support for Chinese and foreign enterprises, and promoting the \"going out\" of Chinese enterprises and international production capacity cooperation.", "The training of international students in higher vocational colleges starts late, has little experience, lacks theoretical innovation, and lacks the development characteristics of vocational education.", "The teaching quality evaluation of international Chinese course in higher vocational colleges is multiple-attributes group decision-making (MAGDM).", "Recently, the TODIM and EDAS technique has been employed to manage MAGDM.", "The probabilistic hesitant fuzzy sets (PHFSs) are employed as a useful tool for depicting uncertain information during the teaching quality evaluation of international Chinese course in higher vocational colleges.", "In this paper, the probabilistic hesitant fuzzy TODIM-EDAS (PHF-TODIM-EDAS) technique is built to manage the MAGDM under PHFSs.", "Finally, the numerical example for teaching quality evaluation of international Chinese course in higher vocational colleges is employed to show the PHF-TODIM-EDAS technique.", "The main contribution of this paper is outlined: (1) the TODIM technique based on EDAS technique has been extended to PHFSs based on CRITIC technique; (2) the CRITIC technique is employed to derive weight numbers under PHFSs.", "(3) the PHF-TODIM-EDAS technique is founded to manage the MAGDM under PHFSs; (4) a numerical case study for teaching quality evaluation of international Chinese course in higher vocational colleges and some comparative analysis is supplied to validate the proposed PHF-TODIM-EDAS technique." ]

[ "With the continuous development of the times, music education in primary and secondary schools is constantly innovating in terms of teaching concepts, teaching methods, and implementation methods.", "The reform of basic music education has aroused the reflection of music teacher education in colleges and universities, and the talent training model of music teachers has become a hot issue that has been widely concerned in the new era.", "To explore the educational significance and influencing factors of entrepreneurship education in college music education and examine the mediating role of self-efficacy and gender adjustment in entrepreneurial education, based on the analysis of music education and entrepreneurial talent training in colleges and universities, a questionnaire survey, statistics, and data processing were adopted in this work.", "In this work, a path model was established based on the mediating effect and the moderating effect, and the equation model was tested.", "The results show that music education has a positive correlation with entrepreneurial self-efficacy and a negative correlation with entrepreneurial intention, which has not been proved to have a certain effect on entrepreneurial intention.", "Entrepreneurial self-efficacy has a positive correlation with entrepreneurial intention, and the mediating effect between music professional education and entrepreneurial intention has also been proved.", "Since there are gender differences and certain stereotypes that cannot be ignored in music education learning, gender adjustment also has a certain influence on entrepreneurial self-efficacy based on music professional education, thereby having a moderating effect on entrepreneurial intentions.", "Entrepreneurship education can improve the comprehensive competitiveness of students.", "As a result, entrepreneurship education can improve the innovation and entrepreneurship education model and the music education system in colleges and universities by combining with the relationship between entrepreneurial efficacy and intention, and it contributes to the overall cultivation of talent in colleges and universities." ]

[ "With the continuous improvement in the strength of medium-thick plate materials, the hot straightening of plates at high temperatures is increasingly influencing the final defect characteristics of products.", "In the high-temperature hot straightening process, the temperature and straightening speed of the plate significantly influence its intrinsic material properties, which, in turn, affect the straightening characteristics of the plate.", "However, most current material models used in the straightening process do not consider the relationship between temperature and strain rate, which leads to an inaccurate characterization of the actual material structure.", "Additionally, the continuous reverse bending mechanics model for straightening does not account for the impact of different bending strain rates on the bending characteristics of the plate in the thickness direction.", "In this study, a numerical calculation method was employed to investigate the evolution process of stress and curvature in the roll-type hot straightening process of medium-thick plates.", "Experimental data and mathematical methods were utilized to develop a viscous plastic material model that accounted for temperature and strain rate.", "Furthermore, a cross-sectional continuous reverse bending model was established, taking into account the temperature and straightening speed, enabling a reasonable interpretation of the mechanical parameter behaviors of medium-thick plates during high-temperature straightening." ]

[ "With the coronavirus disease 2019 (COVID-19) pandemic, rates of in-hospital antimicrobial use increased due to perceived bacterial and fungal coinfections along with COVID-19.", "We describe the incidence of these coinfections and antimicrobial use in patients hospitalized with COVID-19 to help guide effective antimicrobial use in this population.", "This study was conducted in 3 tertiary-care referral university teaching hospitals in New York City.", "This multicenter retrospective observational cohort study involved all patients admitted with COVID-19 from January 1, 2020, to February 1, 2021.", "Variables of interest were extracted from a de-identified data set of all COVID-19 infections across the health system.", "Population statistics are presented as median with interquartile range (IQR) or proportions with 95% confidence intervals (CIs) as indicated.", "Among 7,209 of patients admitted with COVID-19, 663 (9.2%) had a positive culture from the respiratory tract or blood sometime during their initial hospital admission.", "Positive respiratory cultures occurred found in 449 (6.2%) patients, and 20% were collected within 48 hours of admission.", "Blood culture positivity occurred in 334 patients (4.6%), with 33.5% identified within 48 hours of admission.", "A higher proportion of patients received antimicrobials in the first wave than in the later pandemic period (82.4% vs 52.0%).", "Antimicrobials were prescribed to 70.1% of inpatients, with a median of 6 antimicrobial days per patient.", "Infection-free survival decreased over the course of hospitalization.", "We detected a very low incidence of coinfection with COVID-19 at admission.", "A longer duration of hospitalization was associated with an increased risk of coinfection.", "Antimicrobial use far exceeded the true incidence and detection of coinfections in these patients." ]

[ "With the deepening reform of ideological and political education, Medical Parasitology teaching needs to update the teaching concept, change the teaching ideas, as well as keep trying to combine ideological and political education with the curriculum content closely.", "In addition to teaching students' basic knowledge and practical skills, teachers are needed to cultivate their moral literacy and political awareness through course teaching, so as to provide the basis for students' subsequent adaptations to social environments and jobs.", "Currently, the study of ideological and political education in Medical Parasitology teaching is still in the exploratory stage.", "Therefore, colleges and universities need to carry out effective construction of ideological and political education in Medical Parasitology teaching, in order to achieve good teaching outcomes and provide insights into ideological and political education in teaching." ]

[ "With the development of information technology, information has been an important resource in clinical medicine, particularly within the emergency department.", "Given its role in patient rescue, the emergency department demands a high level of information literacy from nurses to effectively collect, analyze, and apply information due to the urgency and complexity of emergency nursing work.", "Although prior studies have investigated the information literacy of nursing staff, little has been undertaken in examining the patterns of information literacy and their predictors among emergency department nurses.", "To clarify the subtypes of information literacy among nurses in the emergency department and explore the factors affecting profile membership.", "A cross-sectional study was conducted among a convenience sample of 2490 nurses in the emergency department from April to June 2023.", "The clinical nurses completed the online self-report questionnaires including the general demographic questionnaire, information literacy scale, self-efficacy scale and social support scale.", "Data analyses involved the latent profile analysis, variance analysis, Chi-square tests and multivariate logistic regression.", "Four latent profiles were identified: 'Low information literacy (Class 1)', 'Moderate information knowledge (Class 2)', 'High information knowledge and support (Class 3)' and 'High information literacy (Class 4)', accounting for 20.14%, 42.11%, 23.36% and 14.39%, respectively.", "Each profile displayed unique characteristics representative of different information literacy patterns.", "Age, years of work, place of residence, hospital grade, title, professional knowledge, using databases, reading medical literature, participating in information literacy training, self-efficacy, and social support significantly predicted information literacy profile membership.", "Information literacy exhibits different classification features among emergency department nurses, and over half of the nurses surveyed were at the lower or middle level.", "Identifying sociodemographic and internal-external predictors of profile membership can aid in developing targeted interventions tailored to the needs of emergency department nurses.", "Nursing managers should actively pay attention to nurses with low information literacy and provide support to improve their information literacy level.", "Insights from the current study of the latent profile analysis are beneficial to hospital managers in understanding the different types of emergency department nurses' information literacy.", "These insights serve as a reference for managers to enhance nurses' information literacy levels." ]

[ "With the development of multimedia systems in wireless environments, the rising need for artificial intelligence is to design a system that can properly communicate with humans with a comprehensive understanding of various types of information in a human-like manner.", "Therefore, this paper addresses an audio-visual scene-aware dialog system that can communicate with users about audio-visual scenes.", "It is essential to understand not only visual and textual information but also audio information in a comprehensive way.", "Despite the substantial progress in multimodal representation learning with language and visual modalities, there are still two caveats: ineffective use of auditory information and the lack of interpretability of the deep learning systems' reasoning.", "To address these issues, we propose a novel audio-visual scene-aware dialog system that utilizes a set of explicit information from each modality as a form of natural language, which can be fused into a language model in a natural way.", "It leverages a transformer-based decoder to generate a coherent and correct response based on multimodal knowledge in a multitask learning setting.", "In addition, we also address the way of interpreting the model with a response-driven temporal moment localization method to verify how the system generates the response.", "The system itself provides the user with the evidence referred to in the system response process as a form of the timestamp of the scene.", "We show the superiority of the proposed model in all quantitative and qualitative measurements compared to the baseline.", "In particular, the proposed model achieved robust performance even in environments using all three modalities, including audio.", "We also conducted extensive experiments to investigate the proposed model.", "In addition, we obtained state-of-the-art performance in the system response reasoning task." ]

[ "With the digital transformation of education, data and digital technologies are regarded as the driving forces for teaching innovation.", "Teachers' data literacy and digital teaching competence are becoming increasingly important for empowering students' digital capacity, ethically technology usage, and collaboration or communication skills in the classroom.", "Therefore, whether teachers' data literacy and digital teaching competence can empower students in the classroom needs to be explored.", "This study aims to reveal the relationship between teacher's information communication technology (ICT) attitude, ICT skills, data literacy, digital teaching competence and empowering students.", "The data were collected from an online self-assessment scale which included a total of 629 K-9 teachers who participated in this study.", "Using SPSS and AMOS, a model was built by using Structural Equation Models to explain and predict the relationships.", "The results indicated that: (a) ICT attitude had no significant impact on digital teaching competence, and ICT skills significantly predicted digital teaching competence, but neither ICT attitude nor skills had a significant direct impact on empowering students; (b) data literacy significantly predicted digital teaching competence and had a significant direct impact on empowering students; (c) digital teaching competence, as dominant mediator in ICT attitude, ICT skills and data literacy, strongly predicted empowering students.", "The findings provided valuable evidence for teachers, policymakers, administrators, teacher educators, and teachers to better reimagine the teachers' digital teaching competence.", "In the future, the teachers' digital teaching competence should become the top priority in teacher ICT training, which was the most direct influencing factor for empowering students." ]

[ "With the global migrant population on the rise, it's imperative to focus on the health status of more vulnerable groups within these communities.", "The elderly immigrants face myriad physical and psychosocial challenges that significantly impact their health and quality of life.", "This study aims to investigate the nutrition, daily life activities, and clinical frailty status of elderly immigrants residing in Türkiye.", "A cross-sectional design was employed in the Sultanbeyli District, focusing on Syrian immigrants aged 65 and over.", "Participants were surveyed face-to-face by interpreters proficient in Arabic.", "The questionnaire comprised sociodemographic details, health status, and scales like Katz Daily Life Activities, Clinical Frailty, and Mini Nutritional Assessment.", "The data analysis was executed using SPSS 22.", "Continuous variables were presented as mean ± standard deviation (SD) and median, while categorical ones were expressed in numbers and percentages (%).", "A significance level of P < .05 was considered for the analyses.", "The average age of the participants was determined as 71.64 ± 6.20 years.", "In the study group, 49.7% were female, 75.5% were younger than 75 years old, 47.7% had less than primary school education, 56.3% were married, 42.4% had a low income level, and 56.9% lived in the same household with 5 or more people.", "Among the participants in the study group, 47% had walking and balance problems, 29.1% had a history of falls in the last year, 10.6% were disabled, 69.5% complained of pain, 82.8% had a chronic illness, and 43% had polypharmacy.", "The median value of the KATZ Daily Living Activities scale was 6, the mean score of the Clinical Frailty Score scale was 3.25 ± 1.25, and the mean score of the Mini Nutritional Assessment scale was 12.40 ± 2.15.", "Among immigrant elderly individuals, 88.1% were able to sustain their lives independently, 13.9% were clinically frail, and 3.3% were at risk of malnutrition.", "Factors such as age, level of education, socioeconomic status, marital status, number of cohabitants in the household, BMI, neurological problems, walking-balance disorders, disability, and presence of chronic diseases are associated with daily life activities, frailty, and malnutrition status.", "It is believed that broader field research with greater participation would be beneficial for evaluating the nutritional status of immigrant elderly individuals." ]

[ "With the global population aging, falls and fall-related injuries are ubiquitous, and several clinical practice guidelines for falls prevention and management for individuals 60 years or older have been developed.", "A systematic evaluation of the recommendations and agreement level is lacking.", "To perform a systematic review of clinical practice guidelines for falls prevention and management for adults 60 years or older in all settings (eg, community, acute care, and nursing homes), evaluate agreement in recommendations, and identify potential gaps.", "A systematic review following Preferred Reporting Items for Systematic Reviews and Meta-analyses statement methods for clinical practice guidelines on fall prevention and management for older adults was conducted (updated July 1, 2021) using MEDLINE, PubMed, PsycINFO, Embase, CINAHL, the Cochrane Library, PEDro, and Epistemonikos databases.", "Medical Subject Headings search terms were related to falls, clinical practice guidelines, management and prevention, and older adults, with no restrictions on date, language, or setting for inclusion.", "Three independent reviewers selected records for full-text examination if they followed evidence- and consensus-based processes and assessed the quality of the guidelines using Appraisal of Guidelines for Research & Evaluation II (AGREE-II) criteria.", "The strength of the recommendations was evaluated using Grades of Recommendation, Assessment, Development, and Evaluation scores, and agreement across topic areas was assessed using the Fleiss κ statistic.", "Of 11 414 records identified, 159 were fully reviewed and assessed for eligibility, and 15 were included.", "All 15 selected guidelines had high-quality AGREE-II total scores (mean [SD], 80.1% [5.6%]), although individual quality domain scores for clinical applicability (mean [SD], 63.4% [11.4%]) and stakeholder (clinicians, patients, or caregivers) involvement (mean [SD], 76.3% [9.0%]) were lower.", "A total of 198 recommendations covering 16 topic areas in 15 guidelines were identified after screening 4767 abstracts that proceeded to 159 full texts.", "Most (≥11) guidelines strongly recommended performing risk stratification, assessment tests for gait and balance, fracture and osteoporosis management, multifactorial interventions, medication review, exercise promotion, environment modification, vision and footwear correction, referral to physiotherapy, and cardiovascular interventions.", "The strengths of the recommendations were inconsistent for vitamin D supplementation, addressing cognitive factors, and falls prevention education.", "Recommendations on use of hip protectors and digital technology or wearables were often missing.", "None of the examined guidelines included a patient or caregiver panel in their deliberations.", "This systematic review found that current clinical practice guidelines on fall prevention and management for older adults showed a high degree of agreement in several areas in which strong recommendations were made, whereas other topic areas did not achieve this level of consensus or coverage.", "Future guidelines should address clinical applicability of their recommendations and include perspectives of patients and other stakeholders." ]

[ "With the high-quality development of biotechnology-related industries in China, the demand for talents and training quality in this field have received extensive attention.", "Several universities in Nanjing have conducted in-depth analysis on the shortcomings of talent training that does not closely match the needs of industries and enterprises.", "These universities have since effectively leveraged its professional characteristics, deepened university-enterprise cooperation, and encouraged the alignment of professional development with industrial growth.", "Biotechnology major has always focused on nurturing individuals with \"right conduct, good learning, and strong ability\", and capitalized on its comparative disciplinary advantages.", "These universities vigorously promoted and continuously optimized the model of university-enterprise collaborative training, highlighted the integration of science, industry and education, focused on innovative education teaching methods, as well as practical engineering practice to enhance its quality.", "The preliminary training results show that this model has promoted students' engineering practical abilities and comprehensive qualities, garnering recognition from employers and students alike." ]

[ "With the imminent industrial growth and population increase, Nigeria will continue to experience significant shifts in the quality of water, with a rise in emerging contaminants.", "This will increase the irregularity and complexity of the water quality information.", "Therefore, using the PRISMA meta-analysis approach, this review systematically identified the commonly used water quality assessment techniques in Nigeria, the drawback in the application of these techniques as well as the gaps in the area of water quality assessment and monitoring from 2003 to 2023.", "Recommendations were also made based on the evaluation of a new research direction; through the review of the effectiveness of advanced techniques for monitoring water quality in Nigeria.", "Sixty-eight published articles were chosen for the meta-analysis while the VOSviewer program was used to perform bibliographic coupling and visualization.", "The review revealed that the application of machine learning in water quality prediction has not been well explored in Nigeria.", "This is attributed to limited data availability and poor funding by the government.", "It was found that southwestern Nigeria has a greater amount of research on groundwater quality monitoring and evaluation than other regions.", "The variability was explained by variations in the underlying geology, aquifer features; variability in anthropogenic activities, and level of literacy among various geopolitical zones.", "Further studies should focus on the application of soft-computing and integrated biomonitoring techniques for effective prediction and monitoring of emerging contaminants for improved water quality.", "Effective collaboration between environmental stakeholders and government agencies is recommended for effective water resource sustainability." ]

[ "With the impending threat of future COVID-19 waves, it is imperative that teaching hospitals develop, implement, and evaluate a systematic training program to render HCW elastic in delivering COVID-19 related services.", "We present our experience in developing, implementing, and evaluating a sustainable and scalable COVID-19 patient management training package for healthcare workers.", "A mixed-methods study design was used.", "Rapid assessment to understand the need of the trainees and identify the available resources was done followed by planning of the training module and its implementation.", "The program was evaluated for effectiveness and sustainability.", "Data analysis was done using descriptive statistics and qualitative data generated from open-ended questions in the feedback forms and the discussions were analyzed using rapid content analysis.", "A total of 66.8% of the doctors and 18.9% of the nurses were trained by online synchronous mode while 55.0% of the nursing officers and 47.1% of the nursing orderlies and paramedical staff were trained in onsite skill development sessions.", "Need assessment identified that healthcare workers were ill-prepared to use medical devices such as Bipap machines, ventilators, and oxygen delivery devices.", "The participants mentioned that the multidisciplinary approach and video-based demonstrations facilitated their online learning while the incremental learning approach, easy-to-understand terminology and hands-on experience facilitated their onsite skill development sessions.", "The COVID-19 training package developed was multidisciplinary, effective, sustainable, and scalable in a resource-limited setting.", "We suggest that this model can be adapted by healthcare organizations to develop and implement such training packages for their healthcare workers." ]

[ "With the increasing aging population there is a need for more gerontological social work practitioners; however, such training for social workers in Canada is limited.", "To help address this gap, one faculty of social work developed a graduate level clinical social work practice certificate with a specialization in gerontology.", "In this paper we explore students' and instructors' perspectives about the curriculum, delivery, and impact of this certificate, and provide recommendations for improvement, particularly with respect to the clinical nature of the courses.", "Eight students and four instructors participated in the study.", "Strengths and opportunities for enhancement were identified for curriculum and delivery.", "Study findings also indicated that further curriculum development should focus on enhancing clinical skill development and providing more practice experience.", "Implications arising from these findings included developing clinical skills through experiential learning, interprofessional education, and service learning." ]

[ "With the increasing amount of elective spine fusion patients presenting with cardiac disease and congestive heart failure, it is becoming difficult to assess when it is safe to proceed with surgery.", "Assessing the severity of heart failure (HF) through ejection fraction may provide insight into patients' short- and long-term risks.", "The purpose of this study was to assess the severity of HF on perioperative outcomes of spine fusion surgery patients.", "This was a retrospective cohort study of the PearlDiver database.", "We enrolled 670,526 patients undergoing spine fusion surgery.", "Thirty-day and 90-day complication rates, discharge destination, length of stay (LOS), physician reimbursement, and hospital costs.", "Patients undergoing elective spine fusion surgery were isolated and stratified by preoperative HF with preserved ejection fraction (P-EF) or reduced ejection fraction (R-EF) (International Classification of Diseases-9: 428.32 [chronic diastolic HF] and 428.22 [chronic systolic HF]).", "Means comparison tests (Chi-squared and independent samples t-tests, as appropriate) compared differences in demographics, diagnoses, comorbidities, procedural characteristics, LOS, 30-day and 90-day complication outcomes, and total hospital charges between those diagnosed with P-EF and those not R-EF.", "Binary logistic regression assessed the odds of complication associated with HF, controlling for levels fused (odds ratio [OR] [95% confidence interval]).", "Statistical significance was set at P < 0.05.", "Totally 670,526 elective spine fusion patients were included.", "Four thousand and seventy-seven were diagnosed with P-EF and 2758 R-EF.", "Overall, P-EF patients presented with higher rates of morbid obesity, chronic kidney disease, chronic obstructive pulmonary disease, diabetes mellitus, and hypertension (all P < 0.001).", "In relation to No-HF, P-EF patients had higher rates of 30-day major complications including pulmonary embolism, pneumonia, cerebrovascular accident (CVA), myocardial infarctions (MI), sepsis, and death (all P < 0.001).", "Furthermore, P-EF was associated significantly with increased odds of pneumonia (OR: 2.07 [1.64-2.56], P < 0.001) and sepsis (OR: 2.09 [1.62-2.66], P < 0.001).", "Relative to No-HF, R-EF was associated with significantly higher odds of MI (OR: 3.66 [2.34-5.47]), CVA (OR: 2.70 [1.67-4.15]), and pneumonia (OR: 1.85 [1.40-2.40]) (all P < 0.001) postoperative within 30 days.", "Adjusting for prior history of MI, CAD, and the presence of a pacemaker R-EF was a significant predictor of an MI 30 days postoperatively (OR: 2.2 [1.14-4.32], P = 0.021).", "Further adjusting for history of CABG or stent placement, R-EF was associated with higher odds of CVA (OR: 2.11 [1.09-4.19], P = 0.028) and MI (OR: 2.27 [1.20-4.43], P = 0.013).", "When evaluating the severity of HF before spine surgery, R-EF was associated with a higher risk of major complications, especially the occurrence of a myocardial infarction 30 days postoperatively.", "During preoperative risk assessment, congestive HF should be considered thoroughly when thinking of postoperative outcomes with emphasis on R-EF." ]

[ "With the increasing availability of data, computing resources, and easier-to-use software libraries, machine learning (ML) is increasingly used in disease detection and prediction, including for Parkinson disease (PD).", "Despite the large number of studies published every year, very few ML systems have been adopted for real-world use.", "In particular, a lack of external validity may result in poor performance of these systems in clinical practice.", "Additional methodological issues in ML design and reporting can also hinder clinical adoption, even for applications that would benefit from such data-driven systems.", "To sample the current ML practices in PD applications, we conducted a systematic review of studies published in 2020 and 2021 that used ML models to diagnose PD or track PD progression.", "We conducted a systematic literature review in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines in PubMed between January 2020 and April 2021, using the following exact string: \"Parkinson's\" AND (\"ML\" OR \"prediction\" OR \"classification\" OR \"detection\" or \"artificial intelligence\" OR \"AI\").", "The search resulted in 1085 publications.", "After a search query and review, we found 113 publications that used ML for the classification or regression-based prediction of PD or PD-related symptoms.", "Only 65.5% (74/113) of studies used a holdout test set to avoid potentially inflated accuracies, and approximately half (25/46, 54%) of the studies without a holdout test set did not state this as a potential concern.", "Surprisingly, 38.9% (44/113) of studies did not report on how or if models were tuned, and an additional 27.4% (31/113) used ad hoc model tuning, which is generally frowned upon in ML model optimization.", "Only 15% (17/113) of studies performed direct comparisons of results with other models, severely limiting the interpretation of results.", "This review highlights the notable limitations of current ML systems and techniques that may contribute to a gap between reported performance in research and the real-life applicability of ML models aiming to detect and predict diseases such as PD." ]

[ "With the increasing integration of technology into society, it is advisable that researchers explore the effects of repeated digital media exposure on our most vulnerable population-infants.", "Excessive screen time during infancy has been linked to delays in language, literacy, and self-regulation.", "This study explores the awareness of and adherence to the American Academy of Pediatrics' (AAP) recommendations related to avoiding screen time for infants younger than 2 years and the motivational factors associated with screen time exposure.", "A mixed methods survey design was used to gather responses from 178 mothers of infants younger than 2 years.", "The measures included infant screen time use and duration, maternal awareness of screen time use recommendations, and motivations related to screen time exposure.", "A variety of statistical procedures were used to explore associations between caregiver awareness of and adherence to AAP guidelines for screen time exposure, motivations related to screen time for infants, and the duration of infant screen time exposure.", "The results indicated that 62.2% (111/178) of mothers were aware of the AAP screen time recommendations, but only 46.1% (82/178) could cite them accurately, and most mothers learned of them via the internet or from a medical professional.", "Mothers who were aware of the guidelines allowed significantly less screen time for infants than those who were unaware (P=.03).", "In addition, parents who adhered to the AAP guidelines reported significantly less infant screen time per day than those who did not adhere (P<.001).", "Among mothers who reported not adhering to the guidelines, the greatest motivation for allowing screen time was perceived educational benefits.", "Less educated mothers rated an infant's relaxation as a motivational factor in allowing screen time significantly higher than more highly educated mothers (P=.048).", "The regression analysis indicated that none of the parental motivation factors predicted daily infant screen time.", "These results indicate 2 key approaches to improving adherence to screen time recommendations.", "First, the awareness of the AAP recommendations needs to be increased, which tends to improve adherence.", "Second, the myth that screen time can be educational for infants needs to be dispelled." ]

[ "With the increasing number of people with chronic diseases and disabilities, the number of family members as caregivers have also been growing.", "Despite the attention paid to caregiving in recent years, little is known about caregiving among young people, particularly its global prevalence.", "The lack of information has important implications for health policy and management, resulting in the inability to form appropriate evidence-based policies and managerial decision making.", "This study aims to derive an estimate of the prevalence of caregiving among young people through a systematic review of the current literature.", "The results of this study revealed a prevalence of caregiving among younger adolescents of between 1.1% (1.06-1.14%) and 12.0% (11.02-12.98%).", "However, the assessment of caregiving varies across studies, and all were conducted in developed countries.", "These results provide information on the burden of caregiving in young people and reveal the lack of global information, calling for more research on and attention to this specific population." ]

[ "With the increasing numbers of refugees from Ukraine affected by the ongoing war, there is a high risk of trauma-related stress due to low local health and mental health literacy care.", "Perceived good health is a human right.", "Earlier studies show that intervention for refugees can reduce and prevent post-migration stress and anxiety.", "The present explorative study aimed to investigate the feasibility and effectiveness of a short, trauma-focused group intervention (in Swedish \"hälsoskola\") for Ukrainian-speaking refugees (EU's mass refugee directive).", "This intervention was part of an ESF project aiming to get the subjects closer to the labor market in Västernorrland County, Sweden.", "A mixed-methods design, a participatory methodology, and an evaluation were used.", "Data were obtained with a short questionnaire in Ukrainian.", "It included a visual analogue health-rating scale, an observation, and an oral evaluation in groups.", "For practical and ethical reasons, there was no control group.", "Each group met five times for 2 h, a total of 10 h excluding pre- and post-assessment.", "There were eight sets of five group sessions per set, a total of 40 sessions.", "Brief initial and concluding breathing exercises sought to reduce stress among the participants.", "Baseline data were obtained from 99 participants, mostly females.", "Data gathered directly after the group intervention from 57 participants who had filled in both the pre- and post-questionnaires showed that (1) perceived anxiety/stress was significantly reduced (chi-2 25,53, df = 4, p < 001).", "(2) The participants showed significantly better perceived health as assessed on a visual analogue scale (average change from 63.16 to 71.18, p < 0.001).", "This result was supported by the participants' questions, which were qualitatively evaluated using thematic content analysis.", "Five general themes stemmed from questions raised in dialogue with the participants plus observation with the respective local expert.", "The participants received answers to their questions, and their perceived negative attitudes to authorities changed to more positive ones.", "By dialogue between the participants' needs of knowledge and direct answers by the local expert, respectively, was feasible and effective as they perceived trust and health and mental health literacy increased.", "Implications for primary prevention are discussed." ]

[ "With the increasing popularity of the internet, a growing number of patients and their companions are actively seeking health-related information online.", "The aim of this study was to assess the quality and readability of online information about Alzheimer's disease (AD) in China.", "A total of 263 qualified AD-related web pages from different businesses, governments, and hospitals were obtained.", "The quality of the web pages was assessed using the DISCERN tool, and the readability of the web pages was assessed using a readability measurement website suitable for the Chinese language.", "The differences in readability and quality between different types of web pages were investigated, and the correlation between quality and readability was analyzed.", "The mean overall DISCERN score was 40.93±7.5.", "The government group scored significantly higher than the commercial and hospital groups.", "The mean readability score was 12.74±1.27, and the commercial group had the lowest readability score.", "There was a positive correlation between DISCERN scores and readability scores.", "This study presents an evaluation of the quality and readability of health information pertaining to AD in China.", "The findings indicate that there is a need to enhance the quality and readability of web pages about AD in China.", "Recommendations for improvement are proposed in light of these findings." ]

[ "With the increasingly severe aging of the population, the difficult and expensive medical treatment problems are becoming more and more prominent; the salary level of domestic doctors is not high, but the cost of training doctors is high, coupled with doctors' work pressure and mental pressure; the number of candidates for medical school is decreasing year by year; medical talent is rare; and the allocation of medical staff is scarce.", "Health care is the basic guarantee for people's good life, and the shortage of medical staff will have many impacts on health care.", "Human-computer interaction (HCI) is the study of people, computers, and their interaction.", "HCI refers to the communication between the user and the computer system, which is the two-way information exchange of various symbols and actions between the human and the computer.", "The purpose of this paper is to study a healthcare system with human-computer interaction through the client, apply the system to the teaching of physiology and medicine, and analyze its effects and functions in combination with various evaluation indicators.", "This paper selects teaching content, ease of use of human-computer interaction design, technical services, and user subjective satisfaction as evaluation indicators, and constructs an evaluation model for this.", "And it builds the physiology and medicine teaching system framework and healthcare system, and conducts tests and statistics on the teaching system.", "This paper combines online questionnaires, in-app survey feedback, and field visits to collect feedback from users and administrators.", "The final data show that the teaching system meets the requirements in four evaluation indicators: teaching content, ease of use of human-computer interaction design, technical services, and user subjective satisfaction.", "User satisfaction with these four aspects reached 86.33%, 95.17%, 63.83%, and 81.87%, respectively.", "It shows that the system is more popular and can meet the needs of most users." ]

[ "With the introduction of medical psychology and medical sociology as examination subjects in the medical curriculum, as enacted by the year 1970 in Germany, medical faculties established professorships and departments for these disciplines.", "This raised the concern of how the two separate scientific cultures of the social and behavioural sciences and of medicine, rooted in basic sciences, could reconcile their teaching and research activities in a constructive way.", "It turned out that the quality and the thematic affinity of new research aligning with core medical interests were important preconditions of successful integration of the new disciplines.", "This paper exemplifies a respective success in case of a scientific development in medical sociology.", "Based on a theoretical model, a longstanding, internationally collaborating research program analysing social determinants of stress-related disorders resulted in a series of innovative insights.", "Furthermore, the paper illustrates close links between biographical luck and structural opportunities and constraints, and it emphasizes the important role of committed inter-disciplinary scientific collaboration." ]

[ "With the learning characteristics of adults, such as self-directed learning, courses that are preferred in application and practice, this research explores the Problem-Based Learning (PBL) teaching method employed in adult keyboard music learning courses.", "This research established a research model and investigated the correlation of learning satisfaction with influencing factors such as teaching effectiveness, self-efficacy, and teamwork and verified teaching effectiveness, self-efficacy, and teamwork relationships.", "Research data has been collected from the keyboard music students of the two classes of the Arts & Culture Department in Open University of Kaohsiung (OUK).", "Data analysis was conducted in three stages: descriptive statistics, measurement model verification, and structural equation model.", "The results of the study found that teaching effectiveness has a significant impact on learning satisfaction.", "Teamwork also has a significant positive impact on learning satisfaction.", "However, the self-efficacy dimension has little effect on learning satisfaction.", "Finally, the results of the study found that teaching effectiveness and teamwork both have significant impacts on learning satisfaction.", "However, the self-efficacy dimension has little effect on learning satisfaction.", "The student-led presentations went smoothly and the results were quite remarkable, which became a reference for the implementation of other courses for adults in the future." ]

[ "With the lifestyle change, users' demand for furniture has shown a trend for personalization and diversification.", "The customized furniture market is growing rapidly and gradually becoming an indispensable choice for lifestyle items.", "The present qualitative study sought to identify the influencing factors and relationships of user demand for customized furniture.", "This study constructed a 4E semi-structured interview guide, which means that interviews were conducted from 4 dimensions: essential information, information extraction, user experience, and product expectation.", "The interview results were coded and analyzed in combination with grounded theory.", "Based on the identified 38 concepts and 10 categories, we obtain 4 main categories: fundamental condition, operation behaviour, sensory value and emotional value.", "For the factors that affect the demand of customized furniture users, customized furniture enterprises can start from 2 levels of publicity and product design to meet user demand and improve the user purchase probability." ]

[ "With the onset of puberty, youth begin to choose their social environments and develop health-promoting habits, making it a vital period to study social and biological factors contextually.", "An important question is how pubertal development and behaviors such as physical activity and sleep may be differentially linked with youths' friendships.", "Cross-sectional statistical network models that account for interpersonal dependence were used to estimate associations between three measures of pubertal development and youth friendships at two large US schools drawn from the National Longitudinal Study of Adolescent to Adult Health.", "Whole-network models suggest that friendships are more likely between youth with similar levels of pubertal development, physical activity, and sleep.", "Sex-stratified models suggest that girls' friendships are more likely given a similar age at menarche.", "Attention to similar pubertal timing within friendship groups may offer inclusive opportunities for tailored developmental puberty education in ways that reduce stigma and improve health behaviors." ]

[ "With the pending implementation of the Closing the Gap 2020 recommendations, there is an urgent need to better understand the contributing factors of, and pathways to positive educational outcomes for both Aboriginal and non-Aboriginal children.", "This deeper understanding is particularly important in the Northern Territory (NT) of Australia, in which the majority of Aboriginal children lived in remote communities and have language backgrounds other than English (i.e.", "75%).", "This study linked the Australian Early Development Census (AEDC) to the attendance data (i.e.", "government preschool and primary schools) and Year 3 National Assessment Program for Literacy and Numeracy (NAPLAN).", "Structural equation modelling was used to investigate the pathway from self-regulation and executive function (SR-EF) at age 5 to early academic achievement (i.e.", "Year 3 reading/numeracy at age 8) for 3,199 NT children.", "The study confirms the expected importance of SR-EF for all children but suggests the different pathways for Aboriginal and non-Aboriginal children.", "For non-Aboriginal children, there was a significant indirect effect of SR-EF (β = 0.38, p<0.001) on early academic achievement, mediated by early literacy/numeracy skills (at age 5).", "For Aboriginal children, there were significant indirect effects of SR-EF (β = 0.19, p<0.001) and preschool attendance (β = 0.20, p<0.001), mediated by early literacy/numeracy skills and early primary school attendance (i.e.", "Transition Years to Year 2 (age 5-7)).", "This study highlights the need for further investigation and development of culturally, linguistically and contextually responsive programs and policies to support SR-EF skills in the current Australian education context.", "There is a pressing need to better understand how current policies and programs enhance children and their families' sense of safety and support to nurture these skills.", "This study also confirms the critical importance of school attendance for improved educational outcomes of Aboriginal children.", "However, the factors contributing to non-attendance are complex, hence the solutions require multi-sectoral collaboration in place-based design for effective implementation." ]

[ "With the premise that physical education classes should promote physical activity by teaching and learning fundamental motor skills, this study aimed to evaluate the fundamental motor skill proficiency of primary school students and determine the level of achievement of established learning outcomes for fundamental motor skills, as specified in the Polish National Physical Education Curriculum.", "A cross-sectional design was used for this study.", "The sample consisted of 2605 children and adolescents enrolled in grades 1-3 (ages 7-9, n = 1165), 4-6 (ages 10-12, n = 837), and 7-8 (ages 13-14, n = 603), including 1353 boys and 1252 girls.", "The Fundamental Motor Skills in Sport test, a qualitative and process-oriented assessment tool, was used to evaluate fundamental motor skills.", "The Fundamental Motor Skills in Sport test evaluates the following movement skills: hurdles, jumping rope, forward roll, ball bouncing, ball throwing and catching, and kicking and stopping a ball.", "The desired level of overall fundamental motor skill proficiency was achieved by only 2 % of students.", "An elementary level of fundamental motor skill proficiency was demonstrated by an additional 3.5 % of students.", "Further, the results showed that only 10-30 % of students had achieved mastery or were close to achieving mastery in a given fundamental motor skill.", "The skill with the lowest level of proficiency was jumping rope, which only 11 % of students had mastered or were near to mastering.", "The present study of a large, nationally representative sample of primary school students in Poland indicates that the vast majority (approximately 94 %) of them demonstrated insufficient fundamental motor skill proficiency.", "This may greatly hinder effective, safe, and healthy participation in lifelong physical activity." ]

[ "With the prevalent problem of nurse retention and the lack of confidence new nurses experience, it is critical for nurse residency programs to have supportive factors that enhance residency experiences.", "By incorporating mentorship, preceptors, and debriefing components into these programs, skills in communication, organization, clinical reasoning, stress management, and self-confidence increase.", "This quantitative study was a descriptive analysis of secondary data using a cross-sectional design.", "Two instruments were used to gather data, the Demographic Information Survey and the Evaluation of the RN Residency Survey.", "The sample was comprised of 1078 graduate nurses completing nurse residency programs throughout the United States.", "The findings indicated that higher residency ratings were significantly related to higher preceptor and debriefing experiences.", "Results also showed no significant interaction effects of reduced stress due to mentoring on the relationship between preceptorship experiences or debriefing experiences and ratings of nurse residency.", "Consequently, it is important that new nurses are given the opportunity to take part in programs offering mentorship, preceptors, and debriefing elements, as nursing residents have found them to be highly beneficial.", "Furthermore, debriefing sessions strengthened their skills and built confidence during their first year of employment." ]

[ "With the rapid aging of the domestic population, China has a strong incentive to increase the statutory retirement age.", "How retirement affects the health of the elderly is crucial to this policymaking.", "The health consequences of retirement have been debated greatly.", "This study aims to investigate the effects of retirement on physical and mental health among Chinese elderly people.", "The data we use in this study comes from four waves (2011, 2013, 2015, and 2018) of the Harmonized China Health and Retirement Longitudinal Study (Harmonized CHARLS), a prospective cohort.", "We use the nonparametric fuzzy regression discontinuity design to estimate the effects of retirement on physical and mental health.", "We test the robustness of our results with respect to different bandwidths, kernel functions, and polynomial orders.", "We also explore the heterogeneity across gender and education.", "Results show that retirement has an insignificant effect on a series of physical and mental health outcomes, with and without adjusting several sociodemographic variables.", "Heterogeneity exists regarding gender and education.", "Although stratified analyses indicate that the transition from working to retirement leaves minimal effects on males and females, the effects go in the opposite direction.", "This finding holds for low-educated and high-educated groups for health outcomes including depression and cognitive function.", "Most of the results are stable with respect to different bandwidths, kernel functions, and polynomial orders.", "Our results suggest that it is possible to delay the statutory retirement age in China as retirement has insignificant effects on physical and mental health.", "However, further research is needed to assess the long-term effect of retirement on health." ]

[ "With the rapid aging of the population structure, and the suicide ideation rate also increasing year by year, the ratio of people over 65 to the total number of deaths is increasing yearly.", "The study provides a reference for researchers interested in older adults' care to explore SI further affecting older adults in the future and provide a reference for qualitative research methods or interventional measures.", "The objective of this study is to explore the influence of mental health status, life satisfaction, and depression status on suicidal ideation (SI) among hospitalized older adults.", "In a cross-sectional correlation study, taking inpatients over 65 years old in a regional teaching hospital in eastern Taiwan, and the BSRS-5 ≧ 5 points of the screening cases, a total of 228 older adults agree to conduct data analysis in this study.", "Mainly explore the influence of personal characteristics, mental health status, life satisfaction, and depressed mood on SI among the hospitalized older adults.", "The basic attributes of the cases used in the data, mental health status, cognitive function, quality of life, depression, and suicide ideation, the data obtained were statistically analyzed with SPSS 20/Windows, and the descriptive statistics were average, standard deviation, percentage, median, etc.", "In the part of inference statistics, independent sample t-test, single-factor analysis of variance, Pearson performance difference correlation, and logistic regression analysis were used to detect important predictors of SI.", "Research results in (1) 89.5% of hospitalized older adults have a tendency to depression.", "2.26.3% of the older adults had SI.", "(2) Here are significant differences in the scores of SI among hospitalized older adults in different economic status groups and marital status groups.", "(3) The age, marital status, and quality of life of the hospitalized older adults were negatively correlated with SI; economic status, self-conscious health, mental health, and depression were positively correlated with SI.", "(4) The results of the mental health status and SI is (r = .345, p < .001), higher the score on the BSRS-5 scale, the higher the SI.", "The correlation between the depression scale score (SDS-SF) and SI was (r = .150, p < .05), the higher the depression scale score, the higher the SI.", "The results of the study found that there was a statistically significant correlation between SI in older adults and age, marital status, economic status, mental health, quality of life, and depression, and also showed that they might interact with each other; the older adults in BSRS-5, GDS-SF, quality of life scale scores have statistically significant differences as essential predictors of SI.", "The results of this study suggest that medical staff can use the BSRS-5 scale to quickly screen and evaluate the mental health status of older adults, hoping to detect early and provide preventive measures, thereby improving the quality of life of older adults." ]

[ "With the rapid development of artificial intelligence (AI) and related technologies, AI algorithms are being embedded into various health information technologies that assist clinicians in clinical decision making.", "This study aimed to explore how clinicians perceive AI assistance in diagnostic decision making and suggest the paths forward for AI-human teaming for clinical decision making in health care.", "This study used a mixed methods approach, utilizing hierarchical linear modeling and sentiment analysis through natural language understanding techniques.", "A total of 114 clinicians participated in online simulation surveys in 2020 and 2021.", "These clinicians studied family medicine and used AI algorithms to aid in patient diagnosis.", "Their overall sentiment toward AI-assisted diagnosis was positive and comparable with diagnoses made without the assistance of AI.", "However, AI-guided decision making was not congruent with the way clinicians typically made decisions in diagnosing illnesses.", "In a quantitative survey, clinicians reported perceiving current AI assistance as not likely to enhance diagnostic capability and negatively influenced their overall performance (β=-0.421, P=.02).", "Instead, clinicians' diagnostic capabilities tended to be associated with well-known parameters, such as education, age, and daily habit of technology use on social media platforms.", "This study elucidated clinicians' current perceptions and sentiments toward AI-enabled diagnosis.", "Although the sentiment was positive, the current form of AI assistance may not be linked with efficient decision making, as AI algorithms are not well aligned with subjective human reasoning in clinical diagnosis.", "Developers and policy makers in health could gather behavioral data from clinicians in various disciplines to help align AI algorithms with the unique subjective patterns of reasoning that humans employ in clinical diagnosis." ]

[ "With the rapid development of artificial intelligence, automated endoscopy-assisted diagnostic systems have become an effective tool for reducing the diagnostic costs and shortening the treatment cycle of patients.", "Typically, the performance of these systems depends on deep learning models which are pre-trained with large-scale labeled data, for example, early gastric cancer based on endoscopic images.", "However, the expensive annotation and the subjectivity of the annotators lead to an insufficient and class-imbalanced endoscopic image dataset, and these datasets are detrimental to the training of deep learning models.", "Therefore, we proposed a Swin Transformer encoder-based StyleGAN (STE-StyleGAN) for unbalanced endoscopic image enhancement, which is composed of an adversarial learning encoder and generator.", "Firstly, a pre-trained Swin Transformer is introduced into the encoder to extract multi-scale features layer by layer from endoscopic images.", "The features are subsequently fed into a mapping block for aggregation and recombination.", "Secondly, a self-attention mechanism is applied to the generator, which adds detailed information of the image layer by layer through recoded features, enabling the generator to autonomously learn the coupling between different image regions.", "Finally, we conducted extensive experiments on a private intestinal metaplasia grading dataset from a Grade-A tertiary hospital.", "The experimental results show that the images generated by STE-StyleGAN are closer to the initial image distribution, achieving a Fréchet Inception Distance (FID) value of 100.4.", "Then, these generated images are used to enhance the initial dataset to improve the robustness of the classification model, and achieved a top accuracy of 86 %." ]

[ "With the rapid development of information technology, artificial intelligence has demonstrated great potential in promoting educational transformation.", "In November 2022, the release of the artificial intelligence product ChatGPT attracted widespread attention, particularly in the field of education, sparking heated discussions among scholars.", "As a language processing tool, ChatGPT can not only answer user questions but also complete user-specified tasks and even continuously optimize task performance.", "However, while possessing powerful features, ChatGPT also has some shortcomings that need improvement, such as the accuracy of answering questions, data pollution issues, ethical and safety concerns, and the risk of knowledge plagiarism.", "In the process of promoting school education reform, the application of ChatGPT brings both opportunities and challenges.", "Moreover, ChatGPT's emergence offers teachers an opportunity to reflect on their professional value and sets higher demands for them." ]

[ "With the rapid development of mobile Internet information technology, automated search text has occupied a leading position in many industries.", "This article not only makes a detailed case study on the basic working principles of text feature extraction and classification methods but also makes in-depth case analysis on the extraction algorithm and its basic concepts as well as some problems that may be encountered in text feature classification and explained their advantages and disadvantages in detail.", "Aiming at the shortcomings of various algorithms, a sparse Bayesian probability model is proposed, so that it can better meet the requirements of database and text classification and further improve related technologies.", "Nowadays, the evaluation of China's goodwill value, whether in theory or in practice, usually simply adopts traditional fixed asset evaluation methods.", "However, traditional methods have the disadvantages of ignoring comparisons with the same industry and failing to take into account different factors that affect corporate goodwill.", "This article adopts a new method that combines traditional methods to evaluate goodwill and tries to improve the results obtained by this traditional method to make the evaluation results more accurate.", "Then, by studying the adaptability of traditional Chinese risk assessment and forecasting models, a comprehensive comparison is made.", "Aiming at the embarrassing situation that the current methods of corporate excess asset return risk assessment difficult to predict in practice, the new gray factors evaluation models are creatively studied." ]

[ "With the rapid development of societal information, electronic educational resources have become an indispensable component of modern education.", "In response to the increasingly formidable challenges faced by secondary school teachers, this study endeavors to analyze and explore the application of artificial intelligence (AI) methods to enhance their cognitive literacy.", "Initially, this discourse delves into the application of AI-generated electronic images in the training and instruction of middle school educators, subjecting it to thorough analysis.", "Emphasis is placed on elucidating the pivotal role played by AI electronic images in elevating the proficiency of middle school teachers.", "Subsequently, an integrated intelligent device serves as the foundation for establishing a model that applies intelligent classification and algorithms based on the Structure of the Observed Learning Outcome (SOLO).", "This model is designed to assess the cognitive literacy and teaching efficacy of middle school educators, and its performance is juxtaposed with classification algorithms such as support vector machine (SVM) and decision trees.", "The findings reveal that, following 600 iterations of the model, the SVM algorithm achieves a 77% accuracy rate in recognizing teacher literacy, whereas the SOLO algorithm attains 80%.", "Concurrently, the spatial complexities of the SVM-based and SOLO-based intelligent literacy improvement models are determined to be 45 and 22, respectively.", "Notably, it is discerned that, with escalating iterations, the SOLO algorithm exhibits higher accuracy and reduced spatial complexity in evaluating teachers' pedagogical literacy.", "Consequently, the utilization of AI methodologies proves highly efficacious in advancing electronic imaging technology and enhancing the efficacy of image recognition in educational instruction." ]

[ "With the rapid development of the era of artificial intelligence, the application ability of programming is also highlighted.", "As one of the necessary abilities of social talents in the future, primary and secondary schools pay more and more attention to this, and programming education is also in full swing.", "Therefore, based on previous studies, this paper further clarifies the current situation when the current situation of programming education in primary and secondary schools is ambiguous.", "This paper is aimed at a wide range of primary and secondary school teachers.", "With 1500 teachers who participated in the online training class for programming teachers as the object in Chinese primary, middle and high school stages, mainly from the three levels of schools, teachers, and students.", "The questionnaire with good reliability and validity test was used as the research method, the survey data were statistically described and analyzed, and differences were analyzed using Microsoft Excel2019, SPSS26.0 and so on, it investigates and analyzes the current situation of programming education in primary and secondary schools.", "Results indicate that the overall quality of programming education offerings in elementary and secondary schools is subpar, and the construction of programming education curriculum in schools requires improvement.", "Nevertheless, schools prioritize improving students' comprehensive abilities, and teachers hold a positive attitude towards programming education and teaching.", "Although students demonstrate a strong interest in learning, their foundation is weak, resulting in poor learning outcomes.", "Consequently, the author provides specific recommendations regarding programming education's working mechanism, curriculum standard system, teacher training, and educational resources sharing to better develop programming education in primary and secondary schools." ]

[ "With the rapid expansion of genomic medicine, more citizens are compelled to think about genetics in their daily lives.", "This study aims to explore appropriate types of educational media and methods to enlighten activities for genetics and hereditary cancer.", "We presented an 18-min YouTube video on genetics and hereditary cancer to participants at a scientific event, Science Agora 2020, and administered a web questionnaire to investigate their opinions about when and how citizens should start learning about genetics and hereditary cancer.", "We recruited 133 participants who watched the video, and 26.3% (35/133) responded to the questionnaire.", "Most of them were evaluated to understand and appreciate the contents of the video.", "They identified websites, or videos as suitable learning media, irrespective of their sex, age, or profession.", "They highlighted upper elementary school or junior high school as appropriate educational stages to start learning about genetics and hereditary cancer to facilitate collecting their own genetic information by themselves.", "Our findings show that educational institutions should provide opportunities to learn about genetics and hereditary cancers, especially for upper elementary school and junior high school students, using learning media, such as videos, depending on their level or demand." ]

[ "With the rapid urbanization in many countries, more attention is being paid to the relationship between urbanization and mental health, especially depression.", "However, in countries with rapid urbanization, few empirical studies exist on the relationship between urbanization and adolescent depression.", "Nationally representative survey data from the China Family Panel Studies in 2012, 2016 and 2018 were used.", "Data of 1,588 adolescents were obtained from 25 provinces.", "Depression was measured using the Center for Epidemiology Studies of Depression 20-item score.", "The urbanization rate was obtained from the National Bureau of Statistics of China.", "The generalized estimating equation was used to estimate the statistical relationship.", "The participants' mean age at baseline was 15 years, and 51.2% (813/1,588) of participants were male.", "After adjusting for all covariates (gender, age, ethnicity, level of education, marital status, urban/rural areas, body mass index, self-rated health, academic pressure, smoking, drinking and exercise), the rate of urbanization was monotonically and negatively associated with adolescent depression (odds ratio 0.34, 95% CI [0.14-0.79]).", "Compared with female adolescents, male adolescents had a lower risk of depression (odds ratio 0.80, 95% CI [0.67-0.97]).", "In the context of China, urbanization has a positive effect on the mental health of adolescents.", "Female adolescents are more likely to experience depression than male adolescents." ]

[ "With the rapidly accumulating knowledge of biological entities and networks, there is a growing need for a general framework to understand this information at a system level.", "In order to understand life as system, a formal description of system dynamics with semantic validation will be necessary.", "Within the context of biological pathways, several formats have been proposed, e.g., SBML, CellML, and BioPAX.", "Unfortunately, these formats lack the formal definitions of each term or fail to capture the system dynamics behavior.", "Thus, we have developed a new system dynamics centered ontology called Cell System Ontology (CSO).", "As an exchange format, the ontology is implemented in the Web Ontology Language (OWL), which enables semantic validation and automatic reasoning to check the consistency of biological pathway models.", "The features of CSO are as follows: (1) manipulation of different levels of granularity and abstraction of pathways, e.g., metabolic pathways, regulatory pathways, signal transduction pathways, and cell-cell interactions; (2) capture of both quantitative and qualitative aspects of biological function by using hybrid functional Petri net with extension (HFPNe); and (3) encoding of biological pathway data related to visualization and simulation, as well as modeling.", "The new ontology also predefines mature core vocabulary, which will be necessary for creating models with system dynamics.", "In addition, each of the core terms has at least one standard icon for easy modeling and accelerating the exchangeability among applications.", "In order to demonstrate the potential of CSO-based pathway modeling, visualization, and simulation, we present an HFPNe model for the ASEL and ASER regulatory networks in Caenorhabditis elegans." ]

[ "With the rising number of people with end-stage chronic diseases, the demand for hospice care has increased dramatically.", "As the future health professionals for the implementation of hospice care, undergraduate nursing students in mainland China still lack knowledge and skills of hospice care, thus hospice care education plays a vital role in its development.", "To understand the effects of hospice care education on nursing students' death attitudes, end-of-life attitudes, humanistic care qualities, and their learning experiences.", "This study used a mixed-methods design.", "A University of Chinese Medicine in mainland China.", "The first-year undergraduate nursing students (n = 65).", "A mixed-methods study was conducted to evaluate the impact of a hospice care course from March to June 2021.", "The quantitative part included a quasi-experimental study designed with pre- and post-intervention measurements and the qualitative part included a descriptive qualitative study with semi-structured individual interviews.", "The quantitative data revealed that after the course, nursing students experienced improvements in their death attitudes, end-of-life attitudes, and humanistic care qualities.", "Two categories were identified from the qualitative data.", "The category of \"Gain from learning\" included 4 themes (Confronting death and thinking about life; Understanding and agreeing with the idea of hospice care; Perceiving the humanistic spirit of medicine; Enhancing of the nursing discipline cognition and professional identity) and the category of \"Course feedback\" included 2 themes (Expressing recognition for the course arrangement; Making suggestions on the course optimization).", "Hospice care education had a positive influence on nursing students.", "Students expressed satisfaction with the course arrangement.", "However, future hospice care courses should further optimize the curriculum designs by increasing the discussion of death-related topics, sharing more real clinical cases, recruiting students from different majors, and providing clinical practice, to provide high-quality nursing education for the development of hospice care." ]

[ "With the shift towards person-centered care (PCC) in oncology, there is a need for parallel evolution of oncology education programs to prepare the next generation of health professionals to deliver effective PCC.", "These programs should be designed utilizing perspectives from individuals who have lived experience with cancer to ensure that changes to education curricula translate to improved PCC in the clinic.", "Our goal was to identify existing literature describing such programs as well as identify gaps for further development.", "Keywords were agreed upon and searched across Ovid Medline, Ovid Embase, ERIC, Google Scholar, and MedEdPORTAL databases.", "Duplicates were removed, unique articles were screened for relevance by title and abstract, and a full text review of each article was completed for validation.", "Included articles describe methods for involving people with cancer in developing and/or delivering oncology-focused education programs.", "In total, 15 articles describing 12 unique oncology education programs from 7 different countries were identified, reviewed, and summarized.", "These programs involved learners undertaking undergraduate medical education, postgraduate medical education, continuing medical education, or training as nurses or radiation therapists.", "Current literature indicates that classroom-based sessions, experiential or simulated learning modalities, and/or asynchronous online modules can all feasibly be created with the integration of perspectives/narratives of people with cancer.", "Furthermore, involving people with cancer directly in the design and/or delivery of these education programs may contribute to improved patient experiences.", "Including the perspectives of people with cancer directly in oncology curriculum development and delivery can improve established pedagogical approaches and enhance learner confidence and competency in delivering PCC.", "We provide recommendations for stepwise implementation of patient perspectives into oncology education, with the hope that future programs will better prepare and motivate learners to provide PCC aimed at improving cancer care, quality of life, and disease outcomes." ]

[ "With the steadily increasing abundance of longitudinal neuroimaging studies with large sample sizes and multiple repeated measures, questions arise regarding the appropriate modeling of variance and covariance.", "The current study examined the influence of standard classes of variance-covariance structures in linear mixed effects (LME) modeling of fMRI data from patients with pediatric mild traumatic brain injury (pmTBI; N = 181) and healthy controls (N = 162).", "During two visits, participants performed a cognitive control fMRI paradigm that compared congruent and incongruent stimuli.", "The hemodynamic response function was parsed into peak and late peak phases.", "Data were analyzed with a 4-way (GROUP×VISIT×CONGRUENCY×PHASE) LME using AFNI's 3dLME and compound symmetry (CS), autoregressive process of order 1 (AR1), and unstructured (UN) variance-covariance matrices.", "Voxel-wise results dramatically varied both within the cognitive control network (UN>CS for CONGRUENCY effect) and broader brain regions (CS>UN for GROUP:VISIT) depending on the variance-covariance matrix that was selected.", "Additional testing indicated that both model fit and estimated standard error were superior for the UN matrix, likely as a result of the modeling of individual terms.", "In summary, current findings suggest that the interpretation of results from complex designs is highly dependent on the selection of the variance-covariance structure using LME modeling." ]

[ "With the transition away from traditional numerical grades/scores, residency applicant factors such as service, research, leadership, and extra-curricular activities may become more critical in the application process.", "To assess the importance of residency application factors reported by program directors (PDs), stratified by director demographics and specialty.", "A questionnaire was electronically distributed to 4241 residency PDs in 23 specialties during spring 2022 and included questions on PD demographics and 22 residency applicant factors, including demographics, academic history, research involvement, and extracurricular activities.", "Responses were measured using a Likert scale for importance.", "Descriptive statistics and Chi-square and Fisher exact test analysis were performed.", "767 questionnaires were completed (19% response rate).", "Across all specialties, the factor considered most important was the interview (99.5%).", "When stratified by specialty, surgical PDs were more likely to characterize class rank, letters of recommendation, research, presenting scholarly work, and involvement in collegiate sports as extremely important/very important (all p < 0.0001).", "In contrast, primary care PDs favored the proximity of the candidate's hometown (p = 0.0002) and community service (p = 0.03).", "Mean importance of applicant factors also differed by PD age, gender, and ethnicity.", "We have identified several residency application factors considered important by PDs, stratified by their specialty, demographics, and previous experiences.", "With the transition away from numerical grades/scores, medical students should be aware of the factors PDs consider important based on their chosen specialty.", "Our analysis may assist medical students in understanding the application and match process across various specialties." ]

[ "With the vigorous development of ChatGPT and its application in the field of education, a new era of the collaborative development of human and artificial intelligence and the symbiosis of education has come.", "Integrating artificial intelligence (AI) into medical education has the potential to revolutionize it.", "Large language models, such as ChatGPT, can be used as virtual teaching aids to provide students with individualized and immediate medical knowledge, and conduct interactive simulation learning and detection.", "In this paper, we discuss the application of ChatGPT in anatomy teaching and its various application levels based on our own teaching experiences, and discuss the advantages and disadvantages of ChatGPT in anatomy teaching.", "ChatGPT increases student engagement and strengthens students' ability to learn independently.", "At the same time, ChatGPT faces many challenges and limitations in medical education.", "Medical educators must keep pace with the rapid changes in technology, taking into account ChatGPT's impact on curriculum design, assessment strategies and teaching methods.", "Discussing the application of ChatGPT in medical education, especially anatomy teaching, is helpful to the effective integration and application of artificial intelligence tools in medical education." ]

[ "With the widespread advent of visualization techniques to convey complex data, visualization literacy (VL) is growing in importance.", "Two noteworthy facets of literacy are user understanding and the discovery of visual patterns with the help of graphical representations.", "The research literature on VL provides useful guidance and opportunities for further studies in this field.", "This introduction summarizes and presents research on VL that examines how well users understand basic and advanced data representations.", "To the best of our knowledge, this is the first tutorial article on interactive VL.", "We describe evaluation categories of existing relevant research into unique subject groups that facilitate and inform comparisons of literacy literature and provide a starting point for interested readers.", "In addition, the introduction also provides an overview of the various evaluation techniques used in this field of research and their challenging nature.", "Our introduction provides researchers with unexplored directions that may lead to future work.", "This starting point serves as a valuable resource for beginners interested in the topic of VL." ]

[ "With this manuscript we aim to initiate a discussion specific to educational actions around ultrasonics sonochemistry.", "The importance of these actions does not just derive from a mere pedagogical significance, but they can be an exceptional tool for illustrating various concepts in other disciplines, such as process intensification and microfluidics.", "Sonochemistry is currently a far-reaching discipline extending across different scales of applicability, from the fundamental physics of tiny bubbles and molecules, up to process plants.", "This review is part of a special issue in Ultrasonics Sonochemistry, where several scholars have shared their experiences and highlighted opportunities regarding ultrasound as an education tool.", "The main outcome of our work is that teaching and mentorship in sonochemistry are highly needed, with a balanced technical and scientific knowledge to foster skills and implement safe protocols.", "Applied research typically features the use of ultrasound as ancillary, to merely enhance a given process and often leading to poorly conceived experiments and misunderstanding of the actual effects.", "Thus, our scientific community must build a consistent culture and monitor reproducible practices to rigorously generate new knowledge on sonochemistry.", "These practices can be implemented in teaching sonochemistry in classrooms and research laboratories.", "We highlight ways to collectively provide a potentially better training for scientists, invigorating academic and industry-oriented careers.", "A salient benefit for education efforts is that sonochemistry-based projects can serve multidisciplinary training, potentially gathering students from different disciplines, such as physics, chemistry and bioengineering.", "Herein, we discuss challenges, opportunities, and future avenues to assist in designing courses and research programs based on sonochemistry.", "Additionally, we suggest simple experiments suitable for teaching basic physicochemical principles at the undergraduatelevel.", "We also provide arguments and recommendations oriented towards graduate and postdoctoral students, in academia or industry to be more entrepreneurial.", "We have identified that sonochemistry is consistently seen as a 'green' or sustainable tool, which particular appeal to process intensification approaches, including microfluidics and materials science.", "We conclude that a globally aligned pedagogical initiative and constantly updated educational tools will help to sustain a virtuous cycle in STEM and industrial applications of sonochemistry." ]

[ "With widely prevalent vaccine hesitancy and medical mistrust, future healthcare providers require knowledge of vaccines and comfort in discussing vaccines with patients.", "However, many U.S. medical schools do not offer formal or elective curricula focused on vaccine education.", "We sought to identify the need for such a curriculum and student gaps in knowledge through a pilot study surveying first- and second-year medical students at a large Pennsylvania medical school to assess knowledge about vaccine initiatives/policies, comfort in discussing vaccines, attitudes toward curricular changes, and effects of COVID-19 on willingness for vaccine education.", "Many participants (>40%) reported insufficient knowledge of vaccine policy, vaccine development and testing, and community vaccine initiatives.", "The majority (>50%) indicated discomfort in discussing vaccines in a clinical setting.", "Importantly, 79% of participants reported insufficient coverage of vaccine topics in the current curriculum.", "A total of 54% decisively wanted formal/mandatory education versus 72% who decisively wanted elective education.", "Desiring formal education was associated with less comfort in discussing vaccines overall and with vaccine-hesitant people in clinical settings.", "Reassuringly, 74% of participants noted that the COVID-19 pandemic made them want to learn more about vaccines.", "Guided by these findings, we conducted a pilot elective teaching about vaccines through case studies, interactive discussions, and role-playing scenarios.", "Pre- and postcourse surveys showed improvement in student knowledge in all vaccine-related topics assessed.", "These data can inform the development of formal and elective curricula that effectively prepare medical students for patients' vaccine questions." ]

[ "Withdrawal of long-acting release somatostatin analogue (LAR-SSA) treatment before somatostatin receptor imaging is based on empirical reasoning that it may block uptake at receptor sites.", "This study aims to quantify differences in uptake of 99m Tc-EDDA/HYNIC-TOC between patients receiving LAR-SSA and those who were not.", "Quantification of 177 patients (55 on LAR-SSA) imaged with 99m Tc-EDDA/HYNIC-TOC was performed, with analysis of pathological tissue and organs with physiological uptake using thresholded volumes of interest.", "Standardised uptake values (SUVs) and tumour/background (T/B) ratios were calculated and compared between the two patient groups.", "SUVs were significantly lower for physiological organ uptake for patients on LAR-SSA (e.g.", "spleen: SUV max 13.3 ± 5.9 versus 33.9 ± 9.0, P < 0.001); there was no significant difference for sites of pathological uptake (e.g.", "nodal metastases: SUV max 19.2 ± 13.0 versus 17.4 ± 11.5, P = 0.552) apart from bone metastases (SUV max 14.1 ± 13.5 versus 7.7 ± 8.0, P = 0.017) where it was significantly higher.", "LAR-SSA has an effect only on physiological organ uptake of 99m Tc-EDDA/HYNIC-TOC, reducing uptake.", "It has no significant effect on pathological uptake for most sites of primary and metastatic disease.", "This should be taken into account if making quantitative measurements, calculating T/B ratios or assigning Krenning Scores.", "There is the potential for improved dosimetric results in Peptide Receptor Radionuclide Therapy by maintaining patients on LAR-SSA." ]

[ "Within a diagnostic medical imaging context, an interaction encompasses communication, physical contact and emotional support.", "These intricacies are an integral part in achieving a successful medical imaging outcome.", "An increasing ageing population presents unique challenges and leads to a higher demand for medical imaging services.", "There is a paucity of literature exploring the specialised knowledge and skills required by radiographers to service optimal person-centred care for elderly patients.", "The purpose of the study was to explore radiographers' perspectives on interactional processes during older persons diagnostic medical imaging encounters.", "The study used a qualitative exploratory research design with a descriptive approach to gain insights from 12 purposively sampled Australian radiographers, through open-ended interviews conducted online or by telephone.", "Verbatim transcripts were produced, and a thematic analysis employed until data saturation had been reached.", "The three themes that emerged from the data analysis were: (1) optimising care and communication, (2) expectations and preconceptions and (3) physical and emotional comfort and safety.", "Generally, the approach to undertaking older persons examinations entailed more adaptive and flexible competencies and skills in comparison to the familiarised routine diagnostic medical imaging encounters with the younger cohort.", "Radiographers shared aspects on striking a balance between efficiency and proficiency with the elderly patient needs, preferences, values, safety and well-being considerations.", "This required swift, complex decision-making and judgement calls due to the unpredictable nature of the context in which the elderly person was situated.", "The result was the adaptation of examination protocols through equipment manipulation, with minimal disruptions to emotional and physical comfort, achieved through interventions and support strategies.", "The results highlight the many considerations for radiographers during a short clinical interaction.", "There is optimism in adding value to the elderly persons experience through a complex interactional process.", "It is anticipated that the identified skills will inform on best practice principles to achieve an elderly person-centred care medical imaging outcome." ]

[ "Within global sustainable resource management efforts, reducing healthcare energy consumption is of public concern.", "This study aims to analyze the energy consumption of three Dual-Energy computed tomography (DECT) scanners and to predict the power consumption based on scan acquisition parameters.", "This study consisted of two parts assessing three DECT scanners: one Dual-Source and two Single-Source DECT.", "In Part A, the energy consumption for various single- and DECT scans with different acquisition parameters using a chest phantom was measured.", "The measurements were compared to the calculated power consumption.", "In Part B, the energy consumption baselines during nonutilization states of the DECT devices: idle (ready to scan), low-power (incomplete shutdown), and system-off mode (complete shutdown) were measured.", "Descriptive statistics were used.", "The phantom study revealed a positive correlation between measured and calculated energy consumption (r2 =0.82), except for single-source split-filter DECT acquisitions, indicating a relationship between scan parameters and energy consumption.", "The baseline study results showed a mean energy consumption of 2.6kWh/hour ± 1.34kWh in idle, 0.89kWh/hour ± 0.42kWh in low-power, and < 0.01kWh/hour ± 0.003kWh in the system-off state.", "The potential total annual CO2 savings for the assessed DECT scanners amounted to 3767kg CO2 (low power) and 5868kg CO2 (system off) compared to the idle state.", "Time-related calculations indicated energy savings starting after 5 min in low-power- and after 2 min in the system-off state.", "Therefore, switching off the scanner, even during shorter periods of non-utilization, can be efficient.", "Our results emphasize a positive correlation between scan parameters and energy consumption in DECT.", "Complete shutdown of DECT devices can have a significant ecological-economic impact." ]

[ "Within higher education, scholarship is narrowly and inconsistently defined, limiting recognition of evolving faculty expectations, particularly for nursing faculty.", "At this academic medical center, a campus-wide, multi-school, academic advancement policy was achieved with a broader definition of scholarship that included: peer-reviewed publication of federally funded research, as well as innovation in curriculum development, teaching methodology, community engagement, safety and quality improvement, clinical practice, and health policy that would be applicable to tenure and non-tenure track faculty.", "The background, process, and outcomes of developing an expanded definition of scholarship that encompasses new and evolving areas of scholarship for a reconstructed academic personnel policy is presented.", "Beginning with a literature review and surveys of other schools' policies, we describe how a campus-wide working group ensured consensus and acceptance of the new policy.", "Upon approval of the reconstructed document, guidelines for implementation were widely disseminated through training workshops and discussions, integration into new faculty orientation, and faculty development programs.", "We share our process, outcomes, and lessons learned believing this information to be useful to other institutions engaged in review and revision of their promotion and tenure processes to align with the increasing expectations of nursing faculty of today and tomorrow." ]

[ "Within the current context of implementation of an Advanced Practice Grade, the Irish Society of Chartered Physiotherapists commissioned a survey of physiotherapy manager opinions regarding the role of Advanced Practice Physiotherapists.", "The aim of this survey was to explore the views of physiotherapist managers in relation to the characteristics, role, competencies and management of Advanced Practice Physiotherapists (APPs) in Ireland.", "Physiotherapist managers based in primary and secondary care settings in Ireland were invited to participate in a survey on Advanced Practice.", "Quantitative data from a custom designed online survey was analysed with descriptive statistics and qualitative data from open-ended survey questions were analysed using thematic analysis.", "The response rate to the survey was 32% (24/75).", "On average, respondents thought that 54% (range: 15%-80%) of an APPs time should be spent in clinical practice and between 17% and 20% variously on managerial and leadership, teaching and education and research and development duties.", "Four themes were identified from the surveys' open-ended questions related to the description of APP: 'Extended scope 'Advanced clinical training, knowledge, and decision-making', 'Autonomy, independence and responsibility', and 'Wider roles'.", "Irish physiotherapist managers recognised the extended scope of practice, expertise and multiple roles characteristic of APPs.", "They indicated the need for legislative changes and clarity around governance." ]

[ "Within the digital society, the limited proficiency in digital health behaviors among rural residents has emerged as a significant factor intensifying health disparities between urban and rural areas.", "Addressing this issue, enhancing the digital literacy and health literacy of rural residents stands out as a crucial strategy.", "This study aims to investigate the relationship between digital literacy, health literacy, and the digital health behaviors of rural residents.", "Initially, we developed measurement instruments aimed at assessing the levels of digital literacy and health literacy among rural residents.", "Subsequently, leveraging micro survey data, we conducted assessments on the digital literacy and health literacy of 968 residents in five administrative villages in Zhejiang Province, China.", "Building upon this foundation, we employed Probit and Poisson models to empirically scrutinize the influence of digital literacy, health literacy, and their interaction on the manifestation of digital health behaviors within the rural population.", "This analysis was conducted from a dual perspective, evaluating the participation of digital health behaviors among rural residents and the diversity to which they participate in such behaviors.", "Digital literacy exhibited a notably positive influence on both the participation and diversity of digital health behaviors among rural residents.", "While health literacy did not emerge as a predictor for the occurrence of digital health behavior, it exerted a substantial positive impact on the diversity of digital health behaviors in the rural population.", "There were significant interaction effects between digital literacy and health literacy concerning the participation and diversity of digital health behaviors among rural residents.", "These findings remained robust even after implementing the instrumental variable method to address endogeneity issues.", "Furthermore, the outcomes of robust analysis and heterogeneity analysis further fortify the steadfastness of the aforementioned conclusions.", "The findings suggest that policymakers should implement targeted measures aimed at enhancing digital literacy and health literacy among rural residents.", "This approach is crucial for improving rural residents' access to digital health services, thereby mitigating urban-rural health inequality." ]

[ "Within the eukaryotic cell, the actin cytoskeleton is a crucial structural framework that maintains cellular form, regulates cell movement and division, and facilitates the internal transportation of proteins and organelles.", "External cues induce alterations in the actin cytoskeleton primarily through the activation of Rho GTPases, which then bind to a diverse array of effector proteins to promote the local assembly or disassembly of actin.", "We have harnessed the extensively studied functions of RhoA in the dynamics of the actin cytoskeleton to craft a practical series for Stage 2 Biology students.", "This series not only imparts essential tissue culture laboratory skills but also reinforces them through repetition.", "These activities are presented in a scenario designed for students to explore the function of a hypothetical RhoA family member.", "Students produce slides from transfected cells, undertake fluorescence microscopy, process the images using ImageJ, and compile their findings in a comprehensive scientific report.", "The composition of the report requires independent acquisition of new knowledge and synoptic learning.", "According to student feedback, this early experience greatly aids in solidifying and honing the skills required to report on more extensive and intricate research projects, such as capstone projects." ]

[ "Within the history of mathematics and mathematics education in Nepal, Tikaram and Chandrakala Dhananjaya are relatively well-known figures for their two books Śiśubodha Taraṅgiṇī and Līlāvatī.", "This is despite there being almost no archival or manuscript materials offering a window into their lives: we have no letters, notebooks, diaries, or school records.", "Rather than focusing on either individual in isolation, in this article we present an argument for considering the Dhananjayas as an analytically indivisible collaborative couple in mathematics.", "Of the two aforementioned books, one is attributed to Chandrakala and the other to Tikaram; but in fact, both are translations of the same Sanskrit source text, Līlāvatī, into Nepali.", "By comparing the mathematical contents of these two works, which were published within a few years of each other, we explore what it means to be an author or translator of a mathematical text and propose different models of spousal collaboration which could plausibly have been adopted by the Dhananjayas.", "In the absence of documentary evidence, the impossibility of delineating each individual's contributions removes the temptation to focus exclusively on apportioning credit.", "Instead, we offer the alternative perspective of considering what labour must have been undertaken to bring their books to publication." ]

[ "Within the last decade, there has been a growing debate regarding financial capacity and abuse as one of the most important challenges that older adults are facing in their everyday lives.1 Currently older adults are highly impacted by pre-and post-COVID-19 measures and there is a massive increase in financial exploitation reports involving older adults worldwide,2 an increase that can be attributed to a number of reasons, such as the higher rates of depression among socially isolated seniors (a diagnosis itself linked to abuse, as it can worsen elders' cognitive and physical condition by making them dependent and vulnerable), but also due to of mass redundancies, financial pressure and stress faced by younger family members (childrenandgrandchildren).3 Althoughpriorresearchemphasizedmainlyindividualcognitive aspects (e.g.", "financial knowledge/self-beliefs/behaviors in the financial decision-making process), the interaction with emotional and socio-cultural factors are not thoroughly examined.", "Unfortunately, there are scarce organized large-scale research attempts at national and none at international level to focus on financial abuse of elders suffering from different types of neurocognitive disorders as well as healthy elders, not only before the COVID-19 era, but especially during and after COVID-19 health and social crisis.4 In addition to the lack of research neglecting the cross-cultural perspective, there is also a dire need to refocus previous research attempts that mainly examine perceptions of financial abuse with experimental manipulations, not in real world situations and only from the viewpoint of the patient/family, while disregarding the attitudes and education /educational needs of healthcare experts.5 Future research questions that deserve to be examined, but still remain unanswered, are: What are the cognitive-emotional characteristics of elders prone to abuse and of the persons in their social environment?", "How do medical-psychiatric conditions influence elders financial abuse?", "What and how do individuals and groups from different social and cultural settings define-perceive financial abuse and the characteristics of the 'offender' and 'victim'?", "Under what real-life conditions we-as-'guardians' detect and are willing to report elder financial abuse and how can we 'protect' elders?", "What do we expect from the state, legal systems and the important others to do?", "What do elders themselves think and feel about financial abuse and how do they react?", "What is the 'correct reaction/directives'?", "What are healthcare professionals' attitudes and knowledge on this topic?", "Could all the above-mentioned points be taught in programmes?", "All the above will not only give an alternative viewpoint on this hot, complex multifaceted ethical, legal and practical issue (that many of us are concerned with, but at the same time are unwilling to systematically explore), but may assist us in understanding, planning and acting 'appropriately'.", "For that to happen, different questions should be addressed and a combination of methods is needed (mixed quantitative and qualitative designs in cross-cultural settings).", "A final point that may help to elucidate this confusing problem is the introduction of new statistical approaches such as multilevel analyses, which allow simultaneous examination of group-level (society) and individual-level (elder) factors and thus reveal to us the broader context.", "Financial education programmes for the prevention of financial exploitation use a wide and appropriate range of delivery methods and dissemination channels focusing on the deficits, strengths as well as needs of the target groups (older adults, family members/caregivers, healthcare professionals).", "Due to the complex social situation, it is imperative to educate older adults as well as their caregivers to make sound financial decisions with the resources available.", "Such programmes have already success, because they provide not only access to financial advisors available for advice and questions on financial issues, they provide resources which are user-friendly (based on the reading level of the older individuals and caregivers), but include enough detail to be useful in planning.6 In the cases of individuals without computer access or without computer literacy, alternative options are offered, such as services accessible over the phone or in person, brochures, handouts, or other written materials, or individual sessions and classes.6 The aim of promotion of financial education on a regular basis, (both via interactive online and with the use of offline resources), includes information fostering knowledge of money management and scam prevention, not only on an individual, but at the community level.7 Revisiting existing research and asking for an update on emerging issues and unexplored realms is a researchers' obligation.", "So, are existing educational programmes adequate?", "A contemporary empirical re-assessment will tell us and old and new questions will make us ponder where to go next." ]

[ "Within the public sector, health managers occupy positions that are typically filled by individuals with a medical, clinical, or nursing experience who are entrusted with assuming an additional role.", "The primary objective of this study was to employ a scoping review methodology to ascertain a cluster of prevalent subjects encompassing the development of a proficient health care manager.", "The purpose of this scoping review study was to identify critical components in the field of management professionalization, as described by Arksey and O'Malley.", "A total of 13 studies, characterized by predefined keywords, were meticulously culled from Scopus, Web of Science, PubMed, and Embase, Magiran, and SID databases.", "The inclusion and exclusion criteria considered factors such as language, temporal relevance, redundancy, thematic alignment with the professionalization domain, and congruence with the overarching objectives and methodologies of the present investigation.", "Subsequently, the contents of the selected studies were subjected to rigorous thematic analysis and judicious categorization using a framework analysis approach.", "From a total of 10,117 articles, a rigorous selection process yielded 13 articles to be included in this study.", "The identified dimensions are classified and elucidated across 6 overarching domains; namely, the science of management, educational trajectory, and curriculum, cultural infrastructure and ideologies, standards, professional institutions and associations, and licenses and certifications.", "To enhance the efficacy of health management, policymakers and planners ought to adeptly incorporate these dimensions within the framework of the country's health system." ]

[ "Within the UK, there is a goal that research is embedded into everyday healthcare practice.", "Currently education provided to students at pre-registration level is theoretical, with little focus on clinical research delivery.", "The paper's aim is to report on the development and evaluation of a pre-registration clinical research resource for nursing and midwifery students with direct application to clinical settings and patient care outcomes.", "An initial survey assessed whether the learning resource was useful for nursing pre-registration students.", "Based on the findings, alongside expert stakeholder input, adaptations were made to the learning resources and a second survey re-evaluated the learning resources.", "Survey findings were analysed using descriptive statistics.", "Free text responses were thematically grouped.", "Ninety-seven pre-registration nursing students responded.", "Most students agreed that they had enjoyed using the resources, had improved understanding of clinical research, anticipated being actively involved in research and would consider a future clinical research role.", "The learning resources can help overcome barriers to research engagement by nurses and midwives.", "The results demonstrate that research can be incorporated into clinical, educational and academic roles, highlighting their worth in supporting the clinical research workforce." ]

[ "Within western Queensland (WQ), Australia, diabetes is the leading cause of potentially preventable hospitalisations and, in some areas, diabetes prevalence is up to 20%.", "To address inequity of access to diabetes-related services in remote areas of WQ, a visiting credentialled diabetes educator program (VCDEP) was developed.", "Using a fly-in, fly-out model of service delivery and supporting telehealth services, upskilling of rural primary healthcare professionals occurred and credentialled diabetes educator (CDE) accessibility increased in WQ.", "This study objectively measured the impact of the VCDEP.", "Practice report data from five representative VCDEP practices and five non-VCDEP practices were analysed using Pearson Chi-squared tests to ascertain associations in reporting of blood pressure (BP), HbA1c, estimated glomerular filtration rate (eGFR), total cholesterol, microalbumin, body mass index (BMI) and foot and eye examinations, as well as improvements in BP, HbA1c, eGFR, total cholesterol, microalbumin and BMI measures at two set date points.", "In practices involved in the VCDEP, aggregated data indicated significant increases in reporting of HbA1c (P ≤ 0.001), eGFR (P ≤ 0.001), total cholesterol (P = 0.022) and foot assessments (P = 0.015).", "In contrast, aggregated data from practices not involved in the VCDEP identified significant decreases in the reporting of BP and eye examinations between October 2019 and March 2021 (P = 0.034 and P = 0.007 respectively).", "Decreases in reporting of HbA1c, eGFR, microalbumin, BMI and foot examinations were also found, although these did not reach statistical significance.", "Concernedly, across practices overall, HbA1c levels have risen, with a significant increase in the percentage of people with diabetes having a HbA1c >53 mmol/mol (7%) and >86 mmol/mol (10%) in March 2021 compared with October 2019 (P = 0.012 and P < 0.001 respectively).", "Reporting of key diabetes indicators is greater among practices participating in the VCDEP than among practices not involved in the VCDEP.", "Further investigation and resource provision are required to address rising HbA1c levels in rural WQ, with a particular focus on the impacts of health literacy, social determinants of health and workforce challenges." ]

[ "Without highly qualified nurse anesthesia educators and administrators, the health care system will be threatened by the inadequate supply of certified registered nurse anesthetists (CRNAs).", "American Association of Nurse Anesthesiologists' Faculty Stabilization Task Force (FSTF) analyzed reasons for high faculty turnover and developed recommendations to support nurse anesthesia faculty and administrators.", "A survey evaluated participants' current role, leadership development opportunities, mentorship experiences, and resource needs.", "Of 109 respondents, 87 (80%) were program administrators or assistant administrators with less than 5 years of experience in their role.", "Despite academic experience, 51% felt adequately prepared for their role.", "The FSTF provided 2 recommendations: to create a robust faculty development program for all faculty at all levels of CRNA education and a repository of information needed for program administrators and faculty to oversee and educate students in a high-quality CRNA program." ]

[ "Women are disproportionately impacted by osteoarthritis (OA) but less likely than men to access OA care, particularly racialized women.", "One way to reduce inequities is through policies that can influence healthcare services.", "We examined how OA-relevant policies in Canada address equitable, person-centred OA care for women.", "We used content analysis to extract data from English-language OA-relevant documents referred to as policies or other synonymous terms published in 2000 or later identified by searching governmental and other web sites.", "We used summary statistics to describe policy characteristics, person-centred care using McCormack's six-domain framework, and mention of OA prevalence, barriers and strategies to improve equitable access to OA care among women.", "We included 14 policies developed from 2004 to 2021.", "None comprehensively addressed all person-centred care domains, and few addressed individual domains: enable self-management (50%), share decisions (43%), exchange information (29%), respond to emotions (14%), foster a healing relationship (0%) and manage uncertainty (0%).", "Even when mentioned, content offered little guidance for how to achieve person-centred OA care.", "Few policies acknowledged greater prevalence of OA among women (36%), older (29%) or Indigenous persons (29%) and those of lower socioeconomic status (14%); or barriers to OA care among those of lower socioeconomic status (50%), in rural areas (43%), of older age (37%) or ethno-cultural groups (21%), or women (21%).", "Four (29%) policies recommended strategies for improving access to OA care at the patient (self-management education material in different languages and tailored to cultural norms), clinician (healthcare professional education) and system level (evaluate OA service equity, engage lay health leaders in delivering self-management programs, and offer self-management programs in a variety of formats).", "Five (36%) policies recommended research on how to improve OA care for equity-seeking groups.", "Canadian OA-relevant policies lack guidance to overcome disparities in access to person-centred OA care for equity-seeking groups including women.", "This study identified several ways to strengthen policies.", "Ongoing research must identify the needs and preferences of equity-seeking persons with OA, and evaluate the impact of various models of service delivery, knowledge needed to influence OA-relevant policy." ]

[ "Women are underrepresented in academic radiation oncology (RO), particularly in leadership positions.", "In this study, we sought to better understand the characteristics of individuals who currently serve as academic RO chairpersons at institutions with an associated Accreditation Council for Graduate Medical Education-accredited RO residency training program.", "We created a database of academic RO chairpersons in the United States by using publicly available sources, including residency training program websites, hospital/institutional websites, Doximity, LinkedIn, the American Society for Radiation Oncology (ASTRO) website, the American College of Radiation Oncology website, and the National Plan and Provider Enumeration System National Provider Identifier Registry.", "We used the χ2 Goodness of Fit test, Mann-Whitney U test, and Fisher exact test via R version 4.1.1 to evaluate for statistical significance among categorical variables, medians, and proportions, respectively.", "We identified 85 of the 90 chairpersons (94.4%) currently serving at institutions with an Accreditation Council for Graduate Medical Education-accredited RO residency training program, 5 of whom hold interim positions and were thus excluded from further analyses.", "Of the remaining 80 chairpersons, 9 (11.3%) are women, and 71 (88.8%) are men (P < .01).", "Seventy-six chairpersons (95.0%) are full professors, and 19 (23.8%) hold dual MD PhD degrees.", "Thirty-two chairpersons (40.0%) hold an official leadership role in a cancer center affiliated with their current institution (43.7% of men vs 11.1% of women; P = .08).", "Seventy-three chairpersons (91.3%) secured their current positions a median of 16 years (range, 6-33 years) after completing RO residency.", "Thirty-five chairpersons (43.8%) were promoted to chair from positions within their current institutions (40.8% of men vs 66.7% of women; P = .17).", "The majority of chairpersons are ASTRO Fellows (62.5%); notably fewer are ASTRO (5.0%) or American College of Radiation Oncology (2.5%) Gold Medalists.", "Eight RO residency programs trained more than half of current chairpersons.", "Significantly more men than women currently serve as RO chairpersons.", "Future interventions that promote the recruitment, retention, and promotion of talented women in academic RO should be considered." ]

[ "Women diagnosed with gestational diabetes mellitus often rely on internet-based health information for managing their condition.", "This study aims to investigate the present state of electronic health literacy among women with gestational diabetes mellitus, analyze the influencing factors, and explore their experiences regarding accessing, comprehending, evaluating, and applying online health information pertinent to gestational diabetes mellitus.", "A sequential explanatory mixed methods research design was adopted in this study.", "Initially, 235 women with gestational diabetes mellitus participated in a cross-sectional survey.", "The research tools included general information and the Chinese version of the electronic Health Literacy Scale (eHEALS).", "Descriptive analyses were conducted to describe the characteristics of the sample, and multiple linear regression analyses were used to explore the factors influencing electronic health literacy among women with gestational diabetes mellitus.", "Secondly, 11 women with gestational diabetes mellitus joined semi-structured in-depth interviews to obtain their perceptions about online health information.", "The data were analyzed using inductive content analysis to develop themes.", "The median score of eHEALS in the Chinese version among 235 women diagnosed with gestational diabetes mellitus was 29 (interquartile range [IQR], 26 to 32).", "Factors influencing electronic health literacy among these women included accessing health information from medical professionals (β = 0.137, p = 0.029) and utilizing health information from applications (β = 0.159, p = 0.013).", "From the qualitative phase of the study, four thematic categories emerged: reasons and basis for accessing health information from the Internet; address barriers to accessing and applying online health information; desires for a higher level of online health information services; outcomes of accessing and applying online health information.", "The electronic health literacy of women diagnosed with gestational diabetes mellitus remains suboptimal and warrants improvement.", "The sources of access to health information affect electronic health literacy in women with gestational diabetes mellitus.", "Moreover, women facing gestational diabetes encounter numerous impediments when attempting to access health-related information online, underscoring the necessity for enhanced online health information services to meet their needs." ]

[ "Women from low- and middle-income countries face challenges in accessing and utilising quality healthcare.", "Technologies can aid in overcoming these challenges and the present scoping review is aimed at summarising the range of technologies used by women and assessing their role in enabling Indian women to learn about and access healthcare services.", "We conducted a comprehensive search from the date of inception of database till 2022 in PubMed and Google Scholar.", "Data was extracted from 43 studies and were thematically analysed.", "The range of technologies used by Indian women included integrated voice response system, short message services, audio-visual aids, telephone calls and mobile applications operated by health workers.", "Majority of the studies were community-based (79.1%), from five states (60.5%), done in rural settings (58.1%) and with interventional design (48.8%).", "Maternal and child health has been the major focus of studies, with lesser representation in domains of non-communicable and communicable diseases.", "The review also summarised barriers related to using technology - from health system and participant perspective.", "Technology-based interventions are enabling women to improve awareness about and accessibility to healthcare in India.", "Imparting digital literacy and scaling up technology use are potential solutions to scale-up healthcare access among women in India." ]

[ "Women from refugee backgrounds have poorer health outcomes than host country populations.", "People from Myanmar, most of whom are from the Karen ethnic minority constitute one of the largest groups of humanitarian visa entrants to Australia since 2015.", "Barriers to and enablers of preventive sexual and reproductive health (SRH) for this group of women are poorly understood.", "The objective is to establish the preventive SRH care needs and experiences of Karen women from refugee backgrounds living in Australia.", "A qualitative study using semi-structured interviews was conducted with a purposive sample of Karen women.", "A bi-cultural worker assisted in recruitment and interpreting during data collection.", "All interviews were conducted in Karen language with a bi-cultural worker interpreting into English during the interview.", "Audio recordings of English dialogue were transcribed verbatim.", "Thematic analysis was used to analyse and report data.", "Thirteen women were interviewed.", "Five major themes were identified: (1) prevention awareness including lack of access to education and knowledge of services pre-arrival; appreciation of the new health system; limited vaccination knowledge, (2) perceived need for prevention including consequences of not screening; health care provider (HCP) attendance, (3) health information seeking including providing a comprehensive approach to information delivery; trusted sources of information, (4) barriers including missed opportunities; communication, language, illiteracy; lack of continuity of care and, (5) enablers including HCP' characteristics; peer support and individual responsibility.", "Findings from this study indicate that to improve access to preventive SRH services a multi-component strategy is needed.", "Provision of preventive SRH information using a multi-pronged approach; peer and community support interventions; and HCPs offering services and information opportunistically would benefit Karen women unfamiliar with preventive SRH care.", "SO WHAT?", ": Primary prevention services and education codesigned with community members may be effective in improving Karen women's access to SRH care." ]

[ "Women have been historically underrepresented in Cardiology and its subspecialties.", "However, limited research has been done to examine the trends of representation of women in cardiology and its subspecialties over time.", "Our study aims to examine these trends and compare them to other internal medicine subspecialties.", "We used data from the Accreditation Council for Graduate Medical Education (ACGME) to conduct a retrospective analysis of the gender trends of cardiology and its subspecialties over a decade from 2013 to 2023.", "Chi-square statistical testing was used to compare representation percentages across groups.", "A p-value <0.05 was considered statistically significant.", "Compared to all internal medicine subspecialties, cardiology and its subspecialties continues to remain the least represented by women.", "We found a statistically significant increase in women's representation in cardiovascular disease and interventional cardiology.", "However, there was no statistically significant changes in the representation of women in electrophysiology and advanced heart failure.", "We have found over the last decade that there was a positive trend in overall women fellows choosing cardiology and its subspecialties, especially since 2018.", "While strides have been made in increasing the number of female fellows in cardiology, it still lags compared to other internal medicine subspecialties.", "As we celebrate this minor milestone, it is crucial to emphasize the importance of persistently overcoming obstacles and fostering a supportive environment throughout all training phases to attract, retain, and mentor female trainees." ]

[ "Women living in high-quality healthcare systems are more likely to use oral contraceptives at some point in their lives.", "Research findings have sparked controversial discussions about contraception in the scientific community and the media, potentially leading to higher rates of method discontinuation.", "Understanding the underlying motives for method discontinuation is crucial for reproductive health equity and future programming interventions.", "To address this question, this study aims to explore women's experiences of oral contraceptive use and discontinuation on YouTube.", "A concurrent explanatory mixed-methods design was used to conduct content analysis of German YouTube videos.", "The information from 175 videos of 158 individuals was extracted through quantitative descriptive content analysis.", "Twenty-one individuals were included in the qualitative content analysis.", "The body was a recurring theme in the pill biographies.", "Women described, for example, bodily sensations as reasons for taking and stopping the pill.", "They also described positive and negative side effects while taking the pill and after stopping.", "The most common side effects of taking the pill mentioned by YouTubers were mood swings (76/158), weight gain (45/158), headaches (33/158), and depressed mood (45/158).", "The symptoms after discontinuation reported most were facial skin impurities (108/158), decreased mood swings (47/158), hair loss (42/158), and weight loss (36/158).", "Overall, women overwhelmingly rated their discontinuation experience as positive (87/91).", "The study identified key symptoms of oral contraceptive initiation and discontinuation by portraying the experiences of female YouTubers, adding valuable insights to the understanding of method initiation and discontinuation.", "Further research is needed to explore women's personal experiences with method discontinuation beyond the YouTube platform." ]

[ "Women living with metastatic breast cancer (MBC) are at risk of significantly impaired quality of life (QOL), symptom burden, distress and fear of progression, and unmet needs, yet they face barriers to accessing evidence-based psychosocial treatments.", "Our group therefore developed Finding My Way-Advanced (FMW-A), a web-based self-guided psychosocial program for women with MBC.", "This study aims to assess its efficacy in improving mental and other QOL domains, distress, fear of progression, unmet needs, and health service utilisation.", "The multi-site randomised controlled trial (RCT) will enrol 370 Australian participants.", "Eligible participants are adult (18 years +) women diagnosed with MBC, with a life expectancy of 6 months or more, with sufficient English-language literacy to provide informed consent.", "Participants will be identified, screened and referred from one of 10 Australian sites, or via self-referral in response to advertisements.", "Participants complete four online questionnaires: prior to accessing their program ('baseline'), 6 weeks later ('post-intervention'), then 3 months and 6 months post-intervention.", "Consenting participants will be randomised to either FMW-A (intervention), or Breast Cancer Network Australia's (BCNA) online/app resource My Journey (minimal intervention attention-control).", "This is a single-blind study, with randomisation computer-generated and stratified by site.", "FMW-A is a 6-module program addressing some of the most common issues experienced by women with MBC, with BCNA control resources integrated within the 'resources' section.", "All modules are immediately accessible, with an additional booster module released 10 weeks later.", "The primary outcome is mental QOL; statistical criteria for superiority is defined as a 4-point difference between groups at post-treatment.", "Secondary outcomes include other QOL domains, distress, fear of progression, health service use, intervention adherence, and user satisfaction.", "This will be the first adequately powered RCT of a self-directed online intervention for women with MBC.", "If efficacious, FMW-A will help address two national key priorities for management of MBC - enhancing QOL and reducing symptom burden.", "FMW-A has the potential to address unmet needs and overcome access barriers for this overlooked population, while reducing health system burden.", "The study was registered prospectively with the ANZCTR on 29/10/2021.", "Trial ID ACTRN12621001482853p.", "https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=382714&isReview=true." ]

[ "Women of childbearing age feel great about giving birth, but the pain could be excruciating depending on their pain tolerances.", "Midwives requires obstetrical knowledge and skills such as pain management during labour and safety.", "We explored midwives' perspectives on the utilisation of pharmacological pain alleviation interventions during labour in selected hospitals in Matjhabeng Municipality, Free State province, South Africa.", "A qualitative study was undertaken, involving a sample of ten midwives, using a semi-structured interview guide.", "The interviews were audio-recorded and transcribed verbatim.", "Tesch's open coding data analysis method was applied to analyse the data.", "The midwives were restricted to use Pethidine and Phenergan prescribed by doctors for labour pain relief, which disrupted labour pain management and obliged them either to wait for a physician or follow telephone instructions.", "According to the midwives, women taking Pethidine and Phenergan encountered adverse effects and discomfort.", "Midwives identified high workload, inadequate personnel, lack of skill and knowledge, lack of medication availability, and lack of infrastructure as the primary challenges of administering pharmacological methods to women in labour.", "The lack of standing orders, which delays the administration of medications pending a physician's prescription, constituted an additional difficulty.", "In the instance that Pethidine and Phenergan were unavailable or ineffective for some women, the midwives recommended that women be administered alternative pharmacological pain relievers.", "They also advocated for institutionalization of pharmacological guidelines allowing them to use their discretion when treating labour pain.", "Midwives can only utilise a few standardised and regulated pharmacological medications for labour pain management.", "The midwives' ability to administer pharmacological pain relief during labour was hampered by a high workload burden, insufficient staff, lack of skill and understanding, drug unavailability, and inadequate infrastructure.", "Midwives advocated for supported guidelines that would allow them to treat labour pain at their discretion.", "Intersectoral stakeholders are required to improve midwife skills and attitudes.", "Health facilities need to train and supply analgesics to midwives.", "Midwives ought to be familiar with pharmacological pain relievers." ]

[ "Women undergoing adjuvant therapy for breast cancer have diverse information needs that remain unfulfilled.", "Extensive research has shown that access to relevant information about their condition can significantly enhance the quality of life for these women, making it an essential part of cancer care.", "However, various clinical and socioeconomic factors influence the information needs of these women.", "Hence, the primary aim of this study is to identify predictors of the information needs of women undergoing adjuvant therapy for breast cancer.", "In addition, this study will also describe the preferred sources of information and the optimal timing for its acquisition.", "A facility-based cross-sectional study was undertaken at Tikur Anbessa Specialty Hospital, enlisting a cohort comprising 121 women undergoing adjuvant therapy for breast cancer.", "Trained interviewers administered an Amharic-translated Toronto information needs questionnaire specifically designed for breast cancer to assess the information needs of the study participants Statistical analysis was executed using the sophisticated software SPSS (version 25).", "Descriptive statistics were employed to summarize the variables of the study.", "A linear regression analyses was then carried out to identify notable predictors that significantly influenced the information needs of the women.", "The total mean score for overall information needs in the current study was 194.30 (± 28.01), with a range scale of 142-260 and a standardized mean score of 3.74 (± 0.54).", "The disease and treatment domains had the highest information needs, with standardized mean scores (standard deviation) of 4.00 (± 0.54) and 3.77 (± 0.59), respectively.", "95% of the participants sought information from healthcare professionals, and 67.7% of the women needed the information before beginning the treatments.", "Predictors of information needs were following a single treatment option (β = 12.68; 95% CI (0.68, 24.68); P = 0.039) and joining higher education and above (β = 17.1; 95% CI (1.47, 34.14); P = 0.033).", "The women exhibited a substantial demand for information.", "Healthcare professionals need to consider the women's educational background and treatment status while delivering the needed information." ]

[ "Women undergoing postmastectomy breast reconstruction face many complex choices.", "A myriad of online patient education materials exist to assist in decision making.", "Understanding of these materials, termed health literacy, affects surgical decision making and outcomes.", "The National Institutes of Health recommends writing patient education materials at a sixth- to seventh-grade reading level.", "The primary goal of this study was to assess readability of online breast reconstruction materials.", "Resources were collected from every academic hospital with a plastic surgery residency program, 97 in total.", "These data were compared with the top nonacademic Web sites ranked by search engine results, 14 in total.", "Materials were analyzed using 3 validated readability assessment scales: Coleman-Liau Index, SMOG (Simplified Measure of Gobbledygook) Readability Formula, and Flesch-Kincaid Grade Level.", "Average readability was analyzed, and results were compared using a 1-way analysis of variance to assess for significance between the different tools and a 2-sided t test to assess for significance between academic and nonacademic readability results.", "The mean readability scores across the academic programs were a Coleman-Liau Index of 13.38 (standard Deviation [SD] 2.81, 13th to 14th grade), Flesch-Kincaid Grade Level of 13.04 (SD = 3.9, 13th grade), and SMOG Readability of 13.64 (SD = 2.99, 13th to 14th grade).", "For the 14 nonacademic sites, results showed a Coleman-Liau Index of 11.93 (SD = 1.14, 12th grade), Flesch-Kincaid of 11.82 (SD = 2.33, 11th to 12th grade), and SMOG Readability of 10.91 (SD = 1.79, 11th grade).", "One-way analysis of variance demonstrated no significant differences in mean readability scores across the 3 readability tools used (academic F = 2.7804, P = 0.06; nonacademic F = 1.14, P = 0.33).", "Two-tailed t test results demonstrated that there was statistical significance between readability of the academic in comparison with nonacademic search engine results (t = 2.04, P = 0.04).", "Average readability across all Web sites were much higher than the recommended reading level, at a 13th to 14th grade reading level for academic institutions, and an 11th to 12th grade for nonacademic Web sites.", "Plastic surgeons may contribute to improving patient understanding and perioperative outcomes through revising patient education materials." ]

[ "Women who fail to initiate contraceptive use within the first year after childbirth face an increased likelihood of experiencing unintended pregnancies in close succession.", "In regions with limited resources, the use of postpartum contraceptives, particularly long-acting reversible contraceptives, remains notably low.", "Consequently, this study sought to assess the prevalence and determinants of postpartum long acting reversible contraceptives in the extended postpartum period in the Shashago district, Central Ethiopia.", "This study employed a community-based cross-sectional design, conducted between March 1, 2021, and April 15, 2021, involving a total of 617 women of reproductive age.", "The selection of study participants was performed using a multistage stratified sampling technique.", "Data collection was carried out through the use of a structured interviewer-administered questionnaire.", "Subsequently, the collected data were entered into Epi-data version 3.1 and exported to SPSS version 25 for further analysis.", "Bivariate and multivariable logistic regression analyses were conducted, and statistical significance was determined using a P value of 0.05, along with adjusted odds ratios (AORs) and their corresponding 95% confidence interval (CI).", "A total of 224(36.3%) women used long-acting contraceptives after giving birth.", "Among these women, 31.1% used Implanon, while 5.2% used an intrauterine device (IUD).", "Factors significantly associated with the use of long-acting contraceptives after childbirth included age 25-29 years (AOR: 1.8, 95% CI: 1.1-3.0), age ≥ 35 years (AOR = 8.7, 95% CI: 3.6-21.5), primary education (AOR = 3.3, 95% CI: 1.6-6.7), secondary education and above (AOR = 3.5, 95% CI: 1.5-8.3), and history of abortion (AOR = 2.7, 95% CI: 1.3-5.4).", "Additionally, having good knowledge of long-acting contraceptives after childbirth (AOR: 2.4, 95% CI: 1.5-3.9) was significantly associated with their use.", "This study revealed that a small number of women opt for long-acting contraceptives after childbirth, with Implanon being more popular than IUDs.", "Factors such as age, education level, abortion history, pregnancy counseling, and knowledge about long-acting contraceptives were linked to their usage.", "Integrating contraceptive counseling into routine antenatal and postnatal care is essential for ensuring access to postpartum contraception.", "Tailored interventions based on age and education level could also help promote long-acting contraceptive use.", "More research and targeted interventions are needed to overcome these barriers and improve access to these methods for postpartum women." ]

[ "Women with substance-use issues are overrepresented in prison.", "Research on women's recidivism often focuses on offending behaviour rather than the health and social circumstances women are experiencing when reimprisonment occurs.", "This study examines the relationship between social determinants of health (SDOH), mental health, substance-use and recidivism among women exiting prison with histories of substance-use.", "A retrospective cohort study of women exiting prison who completed the transitional support programme \"Connections\" between 2008 and 2018.", "Recidivism was measured up to two years post-release.", "Women's support needs were measured at baseline (4 weeks pre-release) and follow-up (four weeks post-release).", "Ongoing needs in relation to well-established SDOH were calculated if: (1) at baseline women were identified as having a re-entry need with housing, employment, finances, education, domestic violence, child-custody and social support and (2) at follow-up women reported still needing help in that area.", "Women's self-reported substance-use and mental health since release were captured at follow-up.", "Descriptive statistics were calculated for all measures.", "Associations between SDOH, mental health, substance-use and recidivism were estimated by multiple logistic regression, adjusting for potential confounders.", "We also evaluated the mediating effects of mental health on the relationship between SDOH and substance-use.", "Substance-use was associated with increased odds of recidivism (adjusted odds ratio (AOR) 1.8, 95% confidence interval (CI) 1.1-2.9; p = 0.02).", "Poor mental health (AOR 2.9, 95% CI 1.9-4.6; p = < 0.01), ongoing social support (AOR 3.0, 95% CI 1.9-5.0; p = < 0.01), child-custody (AOR 1.9, 95% CI 1.0-3.3 p = 0.04), financial (AOR 2.0, 95% CI 1.3-3.2; p = < 0.01) and housing (AOR 1.8, 95% CI 1.1-2.9; p = 0.02) needs were individually associated with increased odds of substance-use.", "Mediation analysis found mental health fully mediated the effects of ongoing housing (beta efficiency (b) = - 033, standard error (SE) 0.01; p = 0.05), financial (b = 0.15, SE 0.07; p = 0.05), child-custody (b = 0.18, SE 0.01; p = 0.05) and social support (b = 0.36, SE 0.1; p = 0.05) needs onto substance-use, and partially mediated the effects of domestic violence (b = 0.57, SE 0.23; p = 0.05) onto substance-use.", "This study underscores the critical importance of addressing the interplay between SDOH, mental health, substance-use and recidivism.", "An approach that targets SDOH holds the potential for reducing mental distress and substance-use, and related recidivism." ]

[ "Women's empowerment is an important policy agenda that is critical for developing countries like Bangladesh to achieve sustainable development goals (SDGs).", "The prime objective of this paper was to examine whether community savings groups can truly improve the economic conditions of women which turns into women's empowerment in fishing communities or not.", "The propensity score matching (PSM) and logistic regression technique were incorporated, and required data were collected from Community Savings Groups (CSG) interventions and non-CSG villages of coastal Bangladesh.", "Quantitative data were collected from 615 women comprising 306 CSG participants (treatment group) and 309 non-participants (control group).", "The results affirm CSG group members were economically more solvent and less dependent on borrowed money than non-CSG group members.", "Improved economic indicators (savings, income and expenditure) of CSG households make the foundation of attaining women's empowerment for the intervened group.", "The findings revealed that CSG women performed better in various dimensions of leadership capacity than non-CSG women.", "Econometric analysis confirmed positive impacts of CSG interventions on savings, gross household income, earning from catching fish, alternative income-generating activities (AIGAs), expenditure, and women's empowerment.", "The initiatives of CSG not only generate economic well-being but also contribute to women's empowerment.", "Financial access, improved literacy and an enabling environment for the productive engagement of women reduce gender inequality in fishing communities.", "To sustain the benefits of CSG, establishing institutional linkages (advisory and financial), legality/registration of CSGs from the government authority, and facilitation of alternative IGAs are crucial." ]

[ "Wooden Cultural Heritage (WCH) represents a significant portion of the world's historical and artistic heritage, consisting of immovable and movable artefacts.", "Despite the expertise developed since ancient times to enhance its durability, wooden artefacts are inevitably prone to degradation.", "Fungi play a pivotal role in the deterioration of WCH in terrestrial ecosystems, accelerating its decay and leading to alterations in color and strength.", "Reviewing the literature of the last 25 years, we aimed to provide a comprehensive overview of fungal diversity affecting WCH, the biochemical processes involved in wood decay, and the diagnostic tools available for fungal identification and damage evaluation.", "Climatic conditions influence the occurrence of fungal species in threatened WCH, characterized by a prevalence of wood-rot fungi (e.g., Serpula lacrymans, Coniophora puteana) in architectural heritage in temperate and continental climates and Ascomycota in indoor and harsh environments.", "More efforts are needed to address the knowledge fragmentation concerning biodiversity, the biology of the fungi involved, and succession in the degradative process, which is frequently centered solely on the main actors.", "Multidisciplinary collaboration among engineers, restorers, and life sciences scientists is vital for tackling the challenges posed by climate change with increased awareness.", "Traditional microbiology and culture collections are fundamental in laying solid foundations for a more comprehensive interpretation of big data." ]

[ "Work interruption disturbs nurses' flow of thinking, diminishes work efficiency, induces burnout, and causes errors that can threaten patients' lives.", "Therefore, it is important to identify the causes and measure the extent of work interruption.", "This study developed a self-report scale and established its validity and reliability for use in hospital settings.", "Through literature review and in-depth interviews with nurses, we identified two components and developed 25 preliminary items.", "These items were reviewed by nursing experts for content validity and pilot tested among 20 hospital nurses; subsequently, a 16-item preliminary instrument was finalized.", "A total of 359 questionnaires were included in the final analysis, and exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed.", "Two factors and 12 items were derived from two rounds of EFA, with a cumulative percentage of variance of 55.73%.", "Construct validity was established through CFA.", "The predictive validity and internal consistency reliability of the developed scale were also established.", "Thus, the 12-item Work Interruption Measurement Scale for Nurses comprising two domains (human and environmental factors) was developed.", "This scale can be useful in assessing work interruption experienced by nurses and for developing and assessing the effectiveness of interventions pertaining to nurses' work interruption." ]

[ "Work-integrated learning (WIL) is widely accepted and necessary to attain the essential competencies healthcare students need at their future workplaces.", "Yet, competency-based education (CBE) remains complex.", "There often is a focus on daily practice during WIL.", "Hereby, continuous competency development is at stake.", "Moreover, the fact that competencies need to continuously develop is often neglected.", "To ultimately contribute to the optimization of CBE in healthcare education, this study aimed at examining how competency development during WIL in healthcare education could be optimized, before and after graduation.", "Fourteen semi-structured interviews with 16 experts in competency development and WIL were carried out.", "Eight healthcare disciplines were included namely associate degree nursing, audiology, family medicine, nursing (bachelor), occupational therapy, podiatry, pediatrics, and speech therapy.", "Moreover, two independent experts outside the healthcare domain were included to broaden the perspectives on competency development.", "A qualitative research approach was used based on an inductive thematic analysis using Nvivo12© where 'in vivo' codes were clustered as sub-themes and themes.", "The analysis revealed eight types of requirements for effective and continuous competency development, namely requirements in the context of (1) competency frameworks, (2) reflection and feedback, (3) assessment, (4) the continuity of competency development, (5) mentor involvement, (6) ePortfolios, (7) competency development visualizations, and (8) competency development after graduation.", "It was noteworthy that certain requirements were fulfilled in one educational program whereas they were absent in another.", "This emphasizes the large differences in how competence-based education is taking shape in different educational programs and internship contexts.", "Nevertheless, all educational programs seemed to recognize the importance of ongoing competency development.", "The results of this study indicate that identifying and meeting the requirements for effective and continuous competency development is essential to optimize competency development during practice in healthcare education." ]

[ "Work-related pain among neurosurgeons remains understudied, yet can have long-term consequences which affect operative efficiency and efficacy, career longevity, and life outside of work.", "This study provides insight into the extent of pain experienced by neurosurgeons and the effect of ergonomics training on pain.", "An online survey pertaining to ergonomics and pain was sent to all neurosurgeons on the Council of State Neurosurgical Societies (CSNS) email distribution list.", "Statistical comparisons of age groups against pain levels and ergonomics training against pain levels, as well as multivariate linear regression of demographics, training, and operating factors against pain levels were performed.", "One hundred and thirty-four neurosurgeons responded to the survey.", "The mean average severity of pain across respondents was 3.3/10 and the mean peak severity of pain was 5.1/10.", "Among the reported peak pain severity scores, neurosurgeons with 21-30 years of operating experience had significantly higher pain scores than those with 11-20 years of experience (mean 6.2 vs. 4.2; P < 0.05), while neurosurgeons with more than 30 years of experience had significantly less pain than those with 21-30 years of experience (mean 4.4 vs. 6.2, P = 0.005).", "Training in ergonomics did not significantly improve respondents' reported peak or mean pain severities (17.9% reported having ergonomics training).", "Ergonomics training did not appear to make a difference in neurosurgeons' pain severities.", "This may signify a need to optimize ergonomics pedagogy to achieve observable benefits." ]

[ "Workers with chronic illness are in higher risk of unemployment.", "This article investigated the worker and workplace characteristics associated with labour market inclusion for workers with a diagnosed chronic illness.", "Linked employer-employee register data covering all Norwegian employers and employees each month from February 2015 to December 2019 were merged with patient data from specialist healthcare (136 196 observations (job spells); 70 923 individual workers).", "Survival analysis was used to estimate the risk of employment exit, with age, gender, chronic illness, full-time/part-time employment, skill level, marital status, children in household, branch, share of chronically ill workers, firm size and unemployment rate as covariates.", "85% of the study population was employed in December 2019; 58% remain employed throughout the follow-up period.", "Mental illness, male gender, young age, part-time employment and lower skill levels were the worker-level predictors of labour market exit.", "Employments in secondary industries, in firms with high shares of chronically ill workers and, to some extent, in larger firms were the significant workplace-level determinants.", "Only a minority of our sample of workers with chronic illness experienced labour market exclusion.", "Targeted measures should be considered towards workers with poor mental health and/or low formal skills.", "Chronically ill workers within public administration have the best labour market prospects, while workplaces within the education branch have an unfulfilled potential." ]

[ "Working despite feeling ill - presenteeism - is a widespread behavioral phenomenon.", "Previous research has shown that presenteeism is influenced by various work-related and personal factors.", "It's an illness behavior leading to a range of negative but also positive consequences.", "Due to coronavirus disease 2019 (COVID-19) pandemic, remote work has become the \"new normal\" for many employees.", "But so far, little is known about presenteeism in remote work.", "This study aims to investigate presenteeism in remote work by looking at the extent of remote presenteeism, differences to presenteeism in on-site work, and associated factors.", "A nationwide cross-sectional online survey was conducted in Germany with N = 233 participants.", "Data were analyzed using descriptive statistics, t-tests, and correlation analysis.", "The results reveal that presenteeism is prevalent in remote work x̅ = 4.13 days (Md = 3; D = 2; s = 4.95).", "A low ability to detach from work (r = -.17; p = .005) and low supervisor support (r = -.14; p = .02) is associated with more remote presenteeism days.", "Remote working conditions seem to facilitate presenteeism.", "This study provides empirical insights into a subject area of great societal relevance.", "The results show that awareness should be raised for presenteeism in remote work.", "It should be regarded as a behavior that can be functional or dysfunctional, depending on the individual situation.", "Supervisor support and detachment should be fostered to help reduce dysfunctional presenteeism.", "Promotion of health literacy might help remote workers to decide on a health-oriented illness behavior.", "Further research is vital to analyze to what extent and under which circumstances presenteeism in remote work is (dys)functional and to derive clear recommendations." ]

[ "Working in a culturally diverse environment entails a moral and professional responsibility to provide culturally competent care.", "This has been recognised as an important measure to reduce health inequalities, improve the quality of care and increase patient satisfaction.", "The aim of this study was to assess the level of cultural competence in nursing students a decade after the introduction of transcultural nursing content into the nursing curriculum in Slovenia.", "A descriptive cross-sectional design with 180 s-year nursing students as a convenience sample was used.", "Cultural competence was assessed using the Cultural Competence Assessment Tool (CCATool) via an online survey.", "IBM SPSS facilitated statistical analysis, using descriptive statistics and inferential methods, including the chi-square test.", "Non-parametric tests (Mann Whitney U, Kruskal-Wallis H and Wilcoxon signed-rank) were used for non-normally distributed data (Shapiro-Wilk test, p < 0.05).", "The significance was set at p ≤ 0.05.", "The results indicate that students demonstrate a high level of cultural competence, although there is room for improvement in terms of cultural sensitivity, as determined by coding the CCATool.", "The results also show a remarkable contrast between their self-assessed scores and the objective scores obtained from CCATool coding of the statements in each subscale (p < 0.005).", "In addition, significant differences (p = 0.002) are found in subscale \"Cultural Knowledge\" particularly between students who have lived abroad for more than 6 months and those who have not.", "The latter group has a higher score in the CCATool, indicating greater cultural knowledge.", "The study suggests that the presence of transcultural elements in the Slovenian nursing curriculum is associated with higher self-reported levels of cultural competence among nursing students, although the present research design does not allow for causal interpretations.", "This competence is of immense importance in preparing students for their future professional environment.", "However, it is crucial to further refine the nursing curriculum, especially through greater integration of transcultural content in all health disciplines.", "In addition, the introduction of innovative teaching and learning approaches can better prepare students to deal with the diverse cultural experiences they will encounter in their nursing careers." ]

[ "Working in a stem cell laboratory necessitates a thorough understanding of complex cell culture protocols, the operation of sensitive scientific equipment, adherence to safety standards, and general laboratory etiquette.", "For novice student researchers, acquiring the necessary specialized knowledge before their initial laboratory experience can be a formidable task.", "Similarly, for experienced laboratory personnel, efficiently and uniformly training new trainees to a rigorous standard presents a significant challenge.", "In response to these issues, we have developed an educational and interactive virtual cell culture environment.", "This interactive virtual lab aims to equip students with foundational knowledge in maintaining cortical brain organoids and to instill an understanding of pertinent safety procedures and laboratory etiquette.", "The gamification of this training process seeks to provide laboratory supervisors in highly specialized fields with an effective tool to integrate students into their work environments more rapidly and safely." ]

[ "Working memory is an important skill for school success, and it involves holding information in our memory while using it to solve complex problems at the same time.", "Autistic children often have difficulty with working memory.", "Because working memory development can be easily influenced by many factors from a young age, it is important to find factors that help with autistic children's development.", "This study tested the factors that are related to autistic children's working memory when they start kindergarten and the factors that can help with rapid improvement throughout their elementary school.", "We used a nationally representative data set that followed the same group of children from kindergarten to fifth grade.", "We found that autistic students from backgrounds with more resources and students with advanced learning approaches such as being organized, being excited to learn, and paying careful attention to their work, started school with strong working memory.", "Autistic students with advanced learning approaches continued to make rapid improvements during the first 3 years, and then their growth slowed down during the last 3 years.", "Autistic students who had a good relationship with their teachers made rapid improvements during the last 3 years of their elementary school.", "In addition, autistic children who struggled with working memory upon school entry were more likely to receive special education services at school.", "These findings suggest that we need effective ways to teach young autistic children important learning-related behaviors from a very young age through the school system, and teachers must prioritize building positive relationships with their students." ]

[ "Working memory skills are positively associated with academic performance.", "In contrast, high levels of trait anxiety are linked with educational underachievement.", "Based on Eysenck and Calvo's (1992) processing efficiency theory (PET), the present study investigated whether associations between anxiety and educational achievement were mediated via poor working memory performance.", "Fifty children aged 11-12 years completed verbal (backwards digit span; tapping the phonological store/central executive) and spatial (Corsi blocks; tapping the visuospatial sketchpad/central executive) working memory tasks.", "Trait anxiety was measured using the State-Trait Anxiety Inventory for Children.", "Academic performance was assessed using school administered tests of reasoning (Cognitive Abilities Test) and attainment (Standard Assessment Tests).", "The results showed that the association between trait anxiety and academic performance was significantly mediated by verbal working memory for three of the six academic performance measures (math, quantitative and non-verbal reasoning).", "Spatial working memory did not significantly mediate the relationship between trait anxiety and academic performance.", "On average verbal working memory accounted for 51% of the association between trait anxiety and academic performance, while spatial working memory only accounted for 9%.", "The findings indicate that PET is a useful framework to assess the impact of children's anxiety on educational achievement." ]

[ "Working-class first-generation (FG) college students are underrepresented in higher education and STEM.", "Using a longitudinal quasi-experiment, we tested the impacts of a living learning community (LLC) in the biological sciences on FG students in their first year of college (Semester 1: N = 243; Semester 2: N = 199), across three cohorts (2018-2019, 2019-2020 and 2020-2021).", "Participation in the LLC enhanced FG students' belonging, confidence, motivation, grades, knowledge of the social relevance of biology, and reduced STEM anxiety compared to a control group of FG students not in an LLC.", "LLC participation also increased retention in biological science majors one-year post-intervention compared to the control FG group.", "Moreover, LLC participation closed the academic gap between FG students in the LLC and honors students from college-educated families in a separate honors LLC.", "Benefits of the LLC intervention remained stable despite the COVID-19 pandemic, when living together became impossible, producing positive effects across cohorts from pre-pandemic to in-pandemic.", "Our results suggest that affinity-based learning communities-with or without shared housing-in the transition to college enhance academic thriving, persistence, and reduce social class driven achievement gaps in STEM." ]

[ "Workplace diversity has recently gained increasing significance and urgency in business organizations.", "This promotion may stem from information processing, and specifically from information elaboration.", "Information elaboration leverages diverse task-related information and skills possessed by members, fostering the exchange of diverse perspectives, elaborate discussions, and achieving high team performance.", "In this context, cognitive diversity, encompassing members' knowledge, skills, and perspectives, may have a positive impact.", "However, some previous studies suggest that cognitive diversity can lead to affective conflict and impede information processing.", "In organizations with highly homogeneous social and cultural backgrounds, cognitive diversity may not be effectively utilized in the information elaboration process, potentially yielding negative effects.", "Authentic leadership is recognized as a significant contributor to facilitating team processes including information processing, with various studies demonstrating its effectiveness.", "This study hypothesized that cognitive diversity negatively affects the information elaboration process, while authentic leadership has a positive effect.", "To test these hypotheses, we employed multilevel structural equation modeling analysis based on data collected from 375 respondents in 90 teams across various industries in Japan.", "The results showed that cognitive diversity negatively affects information elaboration at the individual level.", "By contrast, authentic leadership positively affects information elaboration at both individual and team levels.", "These findings suggest that the effect of cognitive diversity on information processing in the workplace may not always be positive, particularly in a sociocultural context that values homogeneity, as observed in Japanese organizations.", "This study advances the literature on authentic leadership by validating its effect on information elaboration and provides practical implications for diversity management.", "Additionally, it underscores the effectiveness of authentic leadership in leveraging team members' cognitive diversity to facilitate information elaboration." ]

[ "Workplace mental health is an important global health concern.", "This unblinded, phase-III, wait-listed cluster randomized controlled trial aimed to examine the effectiveness of a mobile health (mHealth) psychoeducation program using a spaced education approach on mental health literacy (MHL) in the workplace.", "The main interest of this paper was the immediate and 3-month medium-term effect of the program on the MHL of workers.", "The purposely built mHealth platform was also evaluated as a health-related app.", "The mHealth platform was designed using the principle of spaced education as a psychoeducation intervention program, with various modules of web-based and mobile materials presented to the participant in a progressive manner.", "Short quizzes at the end of each module ensured adequate learning, and successful completion qualified the learner to progress to the next level.", "The trial recruited 456 employees of specific industries with high levels of work-related stress.", "Participants who were nested in different offices or units were allocated into the intervention and wait-listed control groups using a block randomization process, with the office or unit as the cluster.", "A separate sample of 70 individual raters were used for the evaluation of the mHealth platform.", "The Australian National MHL and Stigma Survey and the Mobile Apps Rating Scale were completed through a web-based self-reported survey to assess MHL and evaluate the app.", "The trial and follow-up data were analyzed by a generalized linear latent and mixed model with adjustments for the clustering effect of work sites and repeated measures.", "Of the 456 participants in the trial, 236 (51.8%) responded to the follow-up survey.", "Most MHL outcomes obtained significant results immediately after the intervention and across time.", "After adjusting for the clustering effect, the postintervention weighted mean scores were significantly higher in the intervention group than the control group for correct recognition of a mental health problem, help seeking, and stigmatization by 0.2 (SE 0.1; P=.003), 0.9 (SE 0.2; P<.001), and 1.8 (SE 0.4; P<.001), respectively.", "After adjusting for the clustering effect, significant differences across time were found in help-seeking intention (P=.01), stigmatization (P<.001), and social distancing (P<.001).", "The evaluation of the mHealth program resulted in average scores of the 4 major domains ranging from 3.8 to 4.2, with engagement having the lowest score.", "The mHealth psychoeducation intervention program using this platform had immediate and 3-month medium-term effects of retaining and improving MHL.", "The platform was evaluated to have satisfactory performance in terms of functionality, aesthetics, information content, and utility in enhancing MHL.", "It is anticipated that ongoing development in digital health will provide great benefits in improving the mental health of the global population." ]

[ "Workplace microaggressions are a longstanding but understudied problem in the surgical specialties.", "Microaggressions in health care are linked to negative emotional and physical health outcomes and can contribute to burnout and suboptimal delivery of patient care.", "They also negatively impact recruitment, retention, and promotion, which often results in attrition.", "Further attrition at the time of an impending surgical workforce shortage risks compromising the delivery of health care to the diverse US population, and may jeopardize the financial stability of health care organizations.", "To date, studies on microaggressions have consisted of small focus groups comprising women faculty or trainees at a single institution.", "To our knowledge, there are no large, multiorganizational, gender-inclusive studies on microaggressions experienced by practicing surgeons.", "This study aimed to examine the demographic and occupational characteristics of surgeons who do and do not report experiencing workplace microaggressions and whether these experiences would influence a decision to pursue a career in surgery again.", "We developed and internally validated a web-based survey to assess surgeon experiences with microaggressions and the associated sequelae.", "The survey was distributed through a convenience sample of 9 American College of Surgeons online Communities from November 2022 to January 2023.", "All American College of Surgeons Communities comprised members who had completed residency or fellowship training and had experience in the surgical workforce.", "The survey contained demographic, occupational, and validated microaggression items.", "Analyses include descriptive and chi-square statistics, t tests, and bivariable and multivariable logistic regression.", "The survey was completed by 377 American College of Surgeons members with the following characteristics: working as a surgeon (80.9%), non-Hispanic White (71.8%), general surgeons (71.0%), aged ≥50 years (67.4%), fellowship-trained (61.0%), and women (58.4%).", "A total of 254 (67.4%) respondents reported experiencing microaggressions.", "Younger surgeons (P=.002), women (P<.001), and fellowship-trained surgeons (P=.001) were more likely to report experiencing microaggressions than their counterparts.", "Surgeons working in academic medical centers or health care systems with teaching responsibilities were more likely to experience microaggressions than those in private practice (P<.01).", "Surgeons currently working as a surgeon or those who are unable to work reported more experience with microaggressions (P=.003).", "There was no difference in microaggressions experienced among respondents based on surgical specialty, race/ethnicity, or whether the surgeons reported having a disability.", "In multivariable logistic regression, women had higher odds of experiencing microaggressions compared with men (adjusted odds ratio, 15.9; 95% confidence interval, 7.7-32.8), and surgeons in private practice had significantly lower odds of experiencing microaggressions compared with surgeons in academic medicine (adjusted odds ratio, 0.3; 95% confidence interval, 0.1-0.8) or in health care systems with teaching responsibilities (adjusted odds ratio, 0.2; 95% confidence interval, 0.1-0.6).", "Among surgeons responding to an online survey, respondents reporting microaggressions were less likely to say that they would choose a career in surgery again (P<.001).", "Surgeons reporting experience with microaggressions represent a diverse range of surgical specialties and subspecialties.", "With the continued expansion of surgeon gender and race/ethnicity representation, deliberate efforts to address and eliminate workplace microaggressions could have broad implications for improving recruitment and retention of surgeons." ]

[ "Workplace violence in healthcare settings is a significant public concern that profoundly impacts healthcare workers.", "However, there is a dearth of knowledge regarding the prevalence of workplace violence and its correlation with suicidal ideation among undergraduate medical students in China during their clinical training.", "The objective of this study was to evaluate the prevalence of workplace violence inflicted by patients or their family members/visitors and to assess its association with suicidal ideation among undergraduate medical students.", "The snowballing sampling technique was used to recruit Chinese medical students.", "A question designed by the research team was used to ask medical students about their encounters with workplace violence.", "Students' basic demographic information and mental distresses (learning burnout, depression symptoms, anxiety symptoms, alcohol abuse/dependence, excessive daytime sleepiness and history of mental disorders) were also assessed.", "As appropriate, the data were analysed using descriptive statistics, chi-square tests, independent-sample t-tests and multiple logistic regression.", "Out of the 1402 undergraduate medical students who participated, 493 (35.2%) reported having experienced workplace violence inflicted by patients or their family members/visitors, of which 394 (28.1%) were verbal abuse, 14 (1.0%) were physical aggression, and 85 (6.1%) were suffered from both verbal abuse and physical aggression.", "Furthermore, students exposed to workplace violence were more likely to report suicidal ideation and had a higher prevalence of learning burnout, depression symptoms, anxiety symptoms, alcohol abuse/dependence and excessive daytime sleepiness.", "Depression symptoms, history of mental disorders, learning burnout and having a partner were significantly associated with suicidal ideation in this population.", "The prevalence of workplace violence inflicted by patients or their family members/visitors was high among undergraduate medical students in China.", "This may be associated with their mental distress and suicidal ideation.", "Consequently, it is crucial to strengthen workplace safety measures and promptly implement interventions to mitigate the potentially serious consequences." ]

[ "workplace violence is a global problem in the health sector, especially in the hospitals affecting healthcare works´ job satisfaction and performance.", "Workplace violence (WPV) is present in different forms associated with various factors and the nurses are the most affected.", "This study aimed to explore WPV among nurses working at a selected University Teaching Hospital in Rwanda.", "the research approach used was the quantitative descriptive cross-sectional design.", "The stratified random sampling was used to recruit 195 participants among 379 nurses.", "The data were collected using a structured, validated, and self-administered questionnaire that was adapted from the International Labor Organization, International Council of nurses, the World Health Organization, and Public Services International.", "Descriptive statistics were used for analyzing frequencies and percentages.", "The Chi-square test was used for evaluating the association between variables.", "the findings revealed that (58.5%, n=114) of nurses have experienced some types of WPV in the twelve months preceding the study, among them (44.6%, n=108) of nurses were verbally abused.", "The nurses providing emergency care, the nurses working in the emergency department, and nurses working with vulnerable patients like HIV/AIDS patients were associated with WPV Chi-square (1, n=195), P=<0.001).", "The psychological problems have been found to be the first consequences of WPV.", "based on the study findings, it was concluded that the hospital management needs to be aware of WPV, develop and implement appropriate policies and strategies.", "These will strengthen nurses´ concentration towards them and will result in service delivery improvement." ]

[ "Workplace violence is a prevalent phenomenon in hospital settings which critical care nurses are particularly exposed to.", "The aim of this study was to research abuse against Critical Care Nurses in five European countries, and its association with and impact on Healthy Work Environments.", "This was a multinational cross-sectional study.", "The 1,183 participants were nurses working in intensive care units from five European countries: Croatia, Cyprus, Poland, Spain, and Romania.", "The participants were selected by the convenience sampling method from 1 January 2021 to April 2022.", "Of 1,033 critical care nurses who answered questions about abuse, 646 reported at least one incident in the previous year.", "The highest number of incidents came from patients (2,050), followed by another nurse (1,453) and physicians (1,039).", "Although nurses in ICUs are aware that a healthy working environment benefits them in their daily work, most of them still face some form of abuse.", "Organizations must take a realistic approach to prevent abuse and to educate nurses and nurse managers by implementing standards for healthy work environments." ]